HomeMy WebLinkAboutRAPID FIRE PROTECTION INC - INSURANCE CERTIFICATEN526002FAM2
R r.O� "®
DATE (MMIDDIYYYY)
ll. � CERTIFICATE OF LIABILITY INSURANCE
111/19/2018
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(les) 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 1-605-336-1090
Holmes Murphy & Assoc -SF
CONTACT
NAME: _
PHONE---- ------ FAX
.IALG. NO.I WC.No):
ADDRESS:
5120 S. Solberg Ave
INSURERS AFFORDING COVERAGE
NAIL S
Sioux Falls, SD 57109
INSURERA: Hartford Fire Insurance Company
INSURED
INSURERB: Travelers Property Casualty Co. America
Rapid Fire Protection, Inc.
INSURERC: T1►iII City Fire IIIBuranCe CO
INSURER D:
1530 Samco Rd
INSURER E :
[]A
Rapid City, SD 57702
INSURER F :
!`1111JC0AGCC PC0TIGI1 ATP YIIYRLR• Sd591955 wwmiAN NIINIRFR-
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
E
POLICY NUMBER
YOLN:Y EFF
MWGfyYYY1 EXP
LIMITS
A
GENERAL LIABILITY
91UBNOB0211
04/01/1
04/01/19
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO
PREMISES EaENTED occurrence
$ 300, 000
CLAIMS -MADE rzl OCCUR
MED EXP (Any one person)
f 10, 000
PERSONAL & ADV INJURY
$ 1, 000, 000
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2, 000, 000
:
POLICY YPRO-
] 8 LOC
A
AUTOMOBILE LIABILITY
91UMOOR0212
04/01/1
04/01/19
nBI�NeDSINGLELIMR
1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS -- AUTOS
Y HIRED AUTOS Y AUTOS
PROPERTY DAMAGE
Per
$
S
B
Y
UMBRELLA I"
Y
OCCUR
ZUP91M4468218NF
04/01/1
04/01/19
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
f 10, 000, 000
EXCESS LIAB
CLAIMS -MADE
DED Y RETENTION 10, 000
f
C
WORKERS COMPENSATION
91WROB0210
04/01/1
04/01/19
Y WCSTATU- OTH-
AND EMPLOYERS' LIABILITY N
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? FN
(Mandatory In NH)
N / A
-
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
j 11000,000
It yes, descnbe under
DESCRIPTION OF OPERATIONS bebw
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more apace Is required)
RE: Adtech
I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO BOX 580 AUTHORIZED REPRESENTATIVE
Fort Collins , CO 80526
I USA i
(0 1988-2010 ACORD CORPORATION. All rlgntS reserVeO.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
hheibergeref
54591955
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