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HomeMy WebLinkAboutADVANCED CABLING SYSTEMS LLC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE (MWDDNYYY DATE 9/5/2014 ) 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 Stephens Insurance, LLC PO Box 3507 Little Rock AR 72203-3507 CONTACT Kimberley Sweet FAX (501)377-2970 PHONE . (800) 643 - 96 91 IC EMAIL ,kimberley. eweetRstepheas. com INSURERS AFFORDING COVERAGE NAIC9 INSURERA:Valley Forge Insurance Company 0508 INSURED Advanced Cabling Systems, LLC 4950 Northshore Lane North Little Rock AR 72118 INSURERB:State Auto Property and 25127 INSURER C:Continental Casualty Company 0443 INSURERD:ROCk:hill Insurance Company8053 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 LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF IMMIDDJYYYYJ POLICY EXP IMMIDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAdMAGE TO RENTED PREMISES (Ea.ccummcal $ 300,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FT OCCUR 5095924325 /8/2019 /8/2015 MED EXP (My oneperson) $ 51000 PERSONAL S ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMITlEa 11000,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS AP 2389388 Ol /8/2019 /8/2015 I BODILY INJURY (Per amden) tAUTOS $ NON -OWNED HIRED AUTOS PROPERTY DAMAGE (Per accident $ Medical Ex se $ 5 000 X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 51000,000 AGGREGATE $ 51000,000 L. E%CESS LIAR CLAIMS -MADE DED X RETENTION$ 10,00 $ 095924311-01 /8/2014 /8/2015 A WORKERS COMPENSATION YbC STATU- OTH- ANDEMPLOYERS'IIABILITY YIN ANY PROPRIETORJPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Myandatory In NH) If es. describe under N I A 5095924308 /8/2014 /8/2015 LIM E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT It 1,000,000 DESCRIPTION OF OPERATIONS gel 10 SORU000164-01 /8/2014 /8/2015 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) If required by written contract, Certificate Holder is named as Additional Insured with respects to General, Auto d: Umbrella Liability Coverage. City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 ACORD 25 (2010105) Harbour/SwKI 01988.2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD