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HomeMy WebLinkAbout548927 SKC COMMUNICATION PRODUCTS LLC - INSURANCE CERTIFICATE (2)AC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 10/30/2018 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 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 TRUSS 9200 Ward Parkway Suite 500 CONTACT NAME: Certificate Department PHONE FAX • 816-708-4600 A/c No): 816-708-9193 ADDRESS, Certificates TrussAdvanta e.com INSURERS AFFORDING COVERAGE NAIC # Kansas City MO 64114 INSURER A: Charter Oak Fire Ins Co 25615 INSURED SKC Communication Products, LLC 8320 Hedge Lane Terrace Shawnee KS 66227 INSURERS: Travelers Casualty Insurance Company of America 19046 INSURER C : Travelers Casualty & Surety Co 19038 INSURER D : Travelers Indemnity Company 25658 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1538431010 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 SUER POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM IDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 630BL604925 11/112018 11/1/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEFX] OCCUR DAMAGE TO RENTE PREM SES Ea occu ence $ 1,000,D00 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 _ POLICY ECT LOC PRODUCTS - COMP/OP AGG S 2,000,D00 $ OTHER: D AUTOMOBILE LIABILITY BA8L684318 11/1/2018 11/1/2019 COMBINED SINGLE LIMIT Ea accident $ 1 000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON --OWNED HIRED AUTOS AUTOS B X UMBRELLA LIAB X OCCUR CUP81-982696 11/1/2018 11/1/2019 EACH OCCURRENCE $ 7,000,000 AGGREGATE $ 7,000,000 EXCESS LAB CLAIMS -MADE DED X RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NANY OFFICER/MEMBER CER/MEMBOER/EXCLUDED? ECUTIVE NIA UB8L634026 11/1/2018 11/1/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,OOD,000 E.L. DISEASE -POLICY' LIMIT $ 1,000,00D If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) The City of Fort Collins and Poudre Fire Authority are additional insureds as respects general liability as required by written contract. I.CK I Ir'lk A I t r1ULUtK k.AIVI.CLLA I IUN City of Fort Collins Purchasing 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD