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HomeMy WebLinkAbout507508 US SECURITY ASSOCIATES INC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE OATEOMMW Y) I 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 endomement(s). PRODUCER Aon Risk Services South, Inc. Atlanta GA Office CONTACT NAME: INC. No. Eet); NE (866) 283-A22 FNC Ne ; (800) 363-0105 EMAIL ADDRESS: 3565 Piedmont Rd NE,B191,#700 Atlanta GA 30305 USA INSURERIS) AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual Fire Ins Co 23035 tV Associates. Inc. Court EastINSURER E INSURER B: Lexington Insurance Company 19437 CNdtlOndl DniDn Fire Ins CO of Pittsburgh 19445 0076 USA INSURER D: Liberty Insurance Corporation 42404 INSURER E: INSURER F: UuVtKAueb Uell I If ILIA It NUMIStK: O/0004/OUSUU KGVISIUN NUNIL3tK: 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. Limits shown are as requested INSR T TYPE OF INSURANCE INSD WID POLICY NUMBER MWDDWYYY MMID LIMITS B X COMMERCIAL GENERAL LIABUTY EACH OCCURRENCE E1, 000,000 CLAIMS -MADE %❑ OCCUR SIR applies per policy terns & condl ions PREMISES Eaoccunence $500,006 X MED EAR (Anyone person) S5,000 Per Loca(ron Aggregate limd aubjedtoovers11$25MGenem1Agg. PERSONAL& ADV INJURY S1,000,000 GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S2,000,000 POLICY ❑ PRO JECT �X LOG PRODUCTS - COMP/OP AGO Included OTHER: Pmtessianal Liability Included A AUTOMOBILE LIABILITY AS2-641-443931-054 08/01/2014 08/01/2015 COMBINED SINGLE LIMB (Ea,rodent E1, 000, 000 BODILY (MURY (Per person) X ANY AUTO BODILY INJURY (Per acciden0 X ALL OWNED SCHEDULED AUTOS AUTOS X HIREDAUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per enadent C X UMBRELLA LIAR X OCCUR BE19961597 08/01/2014 08/01/2015 EACH OCCURRENCE E5,000,000 EXCESS LIAB CLAIMSMADE AGGREGATE $S, ODD, OOO DED I X RETENTION f35, 000 D D WORKERS COMPENSATION AND EMPLOYERS'LWBILRY YIN TI ANYPROPRIETORIPARTNERIEXECUVE OFFICENMEMBER EXCLUDED? (Mandatory in Mo NIA WA764D443931014 ADS WC7641443931044 WI 08/01/2014 OS/01/2014 08/01/2015 DB/Ol/201$ X PER OTH- STATUTE ER EL. EACH ACCIDENT $1,000,OOD E.L. DISEASE -EA EMPLOYEE S1,000,000 Ny doembe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT E1,000,000 B Excess Auto Lid 048409879 08/01/2014 08/01/2015 Each Occurrence $4,000,000 DESCRIPTION OF OPERATIONS I LOCAMNS I VEHICLES (ACORD 101. Additional Renarks ScMdv4, may W atScMd a mom epce Is m,Wmd) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Purchasing Department AUTHORIZED REPRESENTATIVE P.O. BOX Z80 Ft. Collins CO 80522 USA ACORD 25 (2014101) 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD m m c C m 32 O 0 S