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HomeMy WebLinkAboutMERLIN GRUE INVESTIGATIVE AND CONSULTING SERVICES - INSURANCE CERTIFICATE (4)�Ra® CERTIFICATE OF LIABILITY INSURANCE OF ID SM DATE(MM/DDIYYYY) 03 19 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(S), 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 endorsement(s). - - - - PRODUCER Robertson Ryan & Assoc., Inc.' Two Plaza East, Suite 650 330-East Xilbourn'Avenue - Milwaukee WZ 53202 NAME: ' PHONE ((A/C, No, Ezl: AIG, No):; EMA7(— ADDRESS: CUSTOUER OMERID#: MERLI-1 - INSURER(S) AFFORDING COVERAGE _ NAIL# _ Phone:414-271-3575.-Fax:414-271-0196 INSURED --- - - INSURER A: National Specialty Ins Co INSURER B: -- Merlin Grue Investigative and Consulting Services INSURER C: 2760 East Adams Ct., Apt. #7 Cudahy WI 53110 INSURER D 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER (MMIDD/YYYY) (MW DIYYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR NSW0699592 02/10/13 - - - 02/10/14 - - - EACH OCCURRENCE $ 100000 PREMISES (Ea occurrence) $ 100000 MED EXP(Anyone person( $ 5000 PERSONALS ADV INJURY $100000 GENERAL AGGREGATE $ 200000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PEA LOC PRODUCTS.: COMP/OP, AGG. $-2001 - - - - $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS - _ - _ - COMBINED SINGLE LIMIT (Ea accident) I $ - BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILtrY Y I N ANY PROPRIETORIPARTNERIEXECUTIVFS—i OFFICER/MEMBER EXCLUDED'! u (Mandatory In Ni If yes. describe under DESCRIPTION OF OPERATIONS below NIA _ QTI TORY LIMITS ER E.L. F1�CH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule. if more space is required) Dectective Agency w/o Firearms CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYFOR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE 215 N., Mason Street Fort Collins CO 80521 - © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD