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HomeMy WebLinkAbout548927 SKC COMMUNICATION PRODUCTS LLC - INSURANCE CERTIFICATE (3)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/29/2014 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 Arthur J. Gallagher Risk Management Services, Inc. 2345 Grand Blvd., Suite 400 Kansas City MO 64108 CONT NAME: PHONE 1 _ 4 Fac No : 1 4 7-554 ` E-MAILI. ADDRESS: r a' .com _craine INSURERS AFFORDING COVERAGE NAIL M INSURER A:TraVelerS Property Casualty-C 74 INSURED SKC Communication Products, LLC 8320 Hedge Lane Terrace Shawnee Mission, KS 66227 INSURER B:Stan ar 'r Insurance Coman 19070 INSURER C:Charter Oak Fire Insurance mpany 25615 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 1776592639 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 ADDL INSR SUBR MO POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS C GENERAL LIABILITY V 30-4C660679-COF-14 11/1/2014 1/1/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP(Any one person) $10,000 CLAIMS -MADE OCCUR PERSONAL &ADV INJURY 81,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY 'X PRO-IFCT LOC A LIABILITY BA4C663910-14-TEC 11/1/2014 1/1/2015 COMBINED SINGLE LIMIT Ea accident $1,000000 BODILY INJURY (Per person) $ ANV AUTO BODILY INJURY (Per accident) $ POMOBILE AOSCHEDULED AUU TOSS NON -OWNED HIRED AUTOS AUTOS X AUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR HSM-CUP-7112P840-TIL-14 11/l/2014 l/1/2015 EACH OCCURRENCE $7,000,000 AGGREGATE $7,000,000 EXCESS LIAB CLAIMS -MADE DED IX I RETENTION$ 10,000 1 $ B WORKERS COMPENSATION HC-UB4C66790-8-14 11/1/2014 11/l/2015 X WC $TATU- I OTH- LIMITS ER AND EMPLOYERS' LIABILITY YIN ANY OFFICERIMEM ER EXCLUDED? PROPRIETORIPARTNER]EXECUTIVE (Mandatory in NH) NIA E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L.DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liability PL-14T2390A-13-14 11/1/2014 1/1/2015 Each Wrongful Act 1,000,000 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) General Liability: Additional Insured as required by written contract per Form CG D4 17 (07/08) Automobile Liability: Additional Insured as required by written contract per form CA T3 53 (03/10) The City of Fort Collins and Poudre Fire Authority are included as additional insureds with respect to General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Purchasing ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE I k- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 005238