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HomeMy WebLinkAboutACCESS SENSOR TECHNOLOGIES LLC - INSURANCE CERTIFICATEACCESEN-02 JWITHERSPO ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 09/20/2018 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on r4p84Thompson rtificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PFS Insurance NAME: rance Group PHONE - Parkway Suite 200 (A/C, No, Ext): (970) 635-9400 (C, NO):(970) 635-9— E-MAILinf^�m fsinsurlance.com n, CO 80534 ADDRESS: "lam yP __INSURERJS) AFFORDING COVERAGE -__ NAIC # INSURER A: Sentinel Insurance_ Company __.. 11000 ---- __ INSURED INSURER B:Hartford Fire Insurance Co Access Sensor Technologies LLC INSURER C c 2401 Research Blvd Suite 107 fNSURER D Fort Collins, CO 80526 — INSURER E : _ INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CFRTIFY THAT THE POLICIES OF INSURANCF 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' TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY ExP LTR IN MM/D LIMITS A X 'COMMERCIAL GENERAL LIABILITY _ 2,000,000 EACH OCCURRENCE i $ ' CLAIMS -MADE X OCCUR X 34SBAAA2497 08/11/2018 08/11/2019 DAMAGE TO RENTED 1,000,000 PREMISE$IEeoccurrenceeL $ __ 10,000 MED EXP (Anyone person)___ $ —_ 2,000,000 PERSONAL & ADV INJURY $ -- -- GENT AGGRE GATELIMITAPPLIESPER - GENERAL AGGREGATE $ 4,000,000 PR X POLICY JELQT LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: EMPLOYEE BENEFI $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)_ -_ - $ ANY AUTO BODILY INJURY_(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE —I AUTOS ONLY AUTOS ONLY (Per accident is UMBRELLA LIAB OCCUR EACH OCCURRENCE _k__-_ EXCESS LIAB 1. CLAIMS -MADE AGGREGATE - ---- - _- $ DED RETENTION $ B WORKERS COMPENSATION X 1 PER STAT.1�TTT(_ OTH- AApND EMPLOYERS' LIABILITY / N 34WECBWO036 09/08/2018 09/08/2019 ANY PR PRIET R/PARTNDE EXECUTIVE _ 1,000,000 ER/ryinNHj EXCLUDED? N/A E.L. EACH ACCIDENT L $ r _ liOFF E L. DISEASE=EA EMPLOYEE' $ 1,000,000 If yyes, describe under 1 DESCRIPTION nF OPERATIONS helow F.I__ nISEASE - POLICY LIMIT 1 000 600 $ i I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, the City of Fort Collins, its officers, agents and employees are included as Additional Insured for ongoing operations under General Liability. 30 days written notice of cancellation except 10 days for non-payment of premium. City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 4� — ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD