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Home My WebLink About263373 ELECTRONIC SYSTEMS INTERNATIONAL INC - INSURANCE CERTIFICATE (6)ELECT-1 OP ID: SG T ,aco�o CERTIFICATE OF LIABILITY INSURANCE D12/162014AM Y) 12/16/2014 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 endorsements . - - - PRODUCER .. __ Phone:719-590-9990 CONTACT Suzanne Storm Six & Geving Insurance, Inc. Fax: 719-590-9992 3630 Sinton Road, Suite 200 Colorado Springs, CO 809075034 PNONE 719-590-9990 - - a ria : 719-590-9992�' ac No EXl ADDRESS: SStorm six evin .cOm- Randy Geving INSURER B AFFORDING COVERAGE NMC d _ INSURER A: Colony Insurance Company INSURED Electronic Systems INSURER B: Plnnacol Assurance 41190 International, Inc. 3010 Mallard Drive INSURER C: Acuity 14184 Colorado Springs, CO 80910-2247 INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 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 ADDL SU8R POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 71 CLAIMS -MADE a OCCUR X 103GL0001664-01 01/01/2015 01/01/2016 EACH OCCURRENCE $ 2,000,000 PREMISES(Ea occurrence $ 100,000 MED EXP (Any one person) $ " 5,000 PERSONAL S ADV INJURY E 2,000,000 GENERALAGGREGATE $ - 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY JECT PRODUCTS-COMP/OP AGO $ 3,000,000 $ C AUTOMOBILE LIABILfTV X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON OWNED HIRED AUTOS AUTOS L75688 01/01/2015 01/01/2016 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per acddent) $ PROPERTY DAMAGE Peraccidenl $ E UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE E DEO I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY My PROPRIETOR,PARTNER/EXECUTNE Y IM OFFICEREMBER EXCLUDED? (Mandatory in NH) If yes. describe under DE SCRIPTION OF OPERATIONS below NIA 076606 01/01/2015 01/01/2016 X WCSTATU- RY E.L. EACH ACCIDENT_ $ 1,000,000 _ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addidonal Remarks Schedule, If more space Is required) RE: City of Ft. Collins is hereby added as additional insured with regards general liability coverage. CITYF-2 City of Ft. Collins P.O. Box 580 Ft. 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 /ff"� GP_� All rahts reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD