HomeMy WebLinkAbout414924 FLEMING SECURITY SERVICES INC - INSURANCE CERTIFICATEFLEMI-1 OP ID: P6
,a►�oRo CERTIFICATE OF LIABILITY INSURANCE
DAT02/02//YYYY)
02/02/13
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsements .
PRODUCER Phone:970-482-7747
CONTACT
NAME:
Brown 8 Brown Inc - Fax: 970-4844165
4532 Boardwalk Dr, Suite 200
Fort Collins, CO 80625
House Account `
1t j ,v J1
PHONE FAX
ac No Est: INC,_No):
E-MAIL
ADDRESS:
INSURER 5 AFFORDING COVERAGE
NAIC a
INSURER A: PInnacol Assurance Company
41190
INSURED Fleming Security Services Inc
INSURER B: Western Surety Company
13188
Attn: Bob Fleming
508 Sedgwick Dr
INSURER C
Fort Collins, CO80525
INSURERD:
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDCISUBR POLICY EFF POLICY EXP
LTR I POLICY NUMBER (MM/DDNYYYI MM1DDNYYY1 LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F—IOCCUR
DAMAGES ( RENTED
PREMISES Ea occurrence)
8
MED UP (Any one person)
$
PERSONAL E ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS-COMP/OP AGG
$
POLICY JEC,PRO n LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
) BODILY INJURY (Per accident
$
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
IPer accident
$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED RETENTION$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIARTNER/EXECUTIVE YtN
OFFICER(MEMBER EXCLUOED9 �
N / A
4009010
03101/13
03/01/14
X WC STATU- OTH-
T RV LIMIT
E.L. EACH ACCIDENT
E 1,000,00
E.L. DISEASE-E4 EMPLOYEE
$ 1,000,00
(Mandatory In NH)
d yes. descdEe under
DESCRIPTION OF OPERATIONS Eelow
E.L. DISEASE - POLICY LIMIT I
$ 1,000,00
B
Employee Dishonest
14694226
04119112
04/19/13
Emp Dis 25,00
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Fax# 204-0547
CITYFT5
City of Fort Collins
Purchasing
John Stevens
281 N College Avenue
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
V 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD