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Home My WebLink About125353 SAFE SYSTEMS INC - INSURANCE CERTIFICATE (15)SAFES-4 OP ID:. ,mot✓izo CERTIFICATE OF LIABILITY INSURANCE DAT09/30/13YY) 9/30/ 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 endorsementls). PRODUCER Phone: 877 Central Insurance Agency, Inc. Fax: 877 93 East Main Street Smithtown, NY 11787 Alice Giacalone INSURED Safe Systems, Inc. 12CJ 3Jr3 421 S. Pierce Avenue Louisville, CO 80027 Scottsdale Insurance 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. MSR TYPE OF INSURANCE ADOL SURF POLICY NUMBER MPMIUCY EyYY)FF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSJAADE FK OCCUR X Contractual Liab E-CGL-0000018371-02 10101/13 10/01114 EACH OCCURRENCE S 1,000,00 PREMISES Ea occumencel 50.00 MED EXP (Any one person) S 50,00 PERSONAL SAOVINJURY S 1,000,0001 X Errom&Omission8 GENERAL AGGREGATE 4 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRo- LOC PRODUCTS -COMP/OPAGG S 2,000,000 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X AUTOSINNED 12UUMOJ9582 10/01113 10/01/14 COMBINED SINGLE LIMIT Es amident 1 X BODILY INJURY(Perperson) $ X BODILY INJURY (Per accided) $ X PPROPE�diant) DAMAGE $ S B UMBRELLA LW EXCEas Lw X OCCUR CLAIMS MADE XLS0090302 10/01113 10/01/14 EACH OCCURRENCE 5 8,000, X AGGREGATE S 8,000, DED RETENTION S If Y/ORKERS COMPENSATION ANDEMPLOYERS'LIABIDTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICERIMEMSER EXCLUDED? (Mandatory In NH) If yes, desaide under DESCRIPTION OF OPERATIONS E Icvr NIA WC STATU- OTH- E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE S E.L. DISEASE -POLICY LIMIT { D EPLI EKI3'111994 10/01/13 10MV14 EEC/AGG 1,000, DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (A11aeh ACORD 101, Additional Remarks Schedule, if more space is required) As pertains to the insureds operations as required by written contract. CERTIFICATE HOLDER CANCELLATION FORTCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. City Of Fort CollinsACCORDANCE P.O. Box 580 AUTHORVED REPRESENTATIVE Fort Collins, CO 80522 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD