HomeMy WebLinkAboutINTERFACE COMMUNICATIONS COMPANY INC - INSURANCE CERTIFICATEAGUHL), CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
2/23/2019
12/ 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(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
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies
8110 E. Union Avenue
Suite 700
Denver CO 80237
CONTACT
NAME:
A/C No Ext : A/C, No
E-MAIL
ADDRESS:
INSURER(SI AFFORDING COVERAGE
NAIC a
(303) 414-6000
INSURER A : Great American Insurance Company
16691
INSURED Interface Communications Company Inc.
1401085 5400 Mount Meeker Road, Suite A
Boulder, CO 80301
INSURER B : Farmington Casualty Com an
41483
INSURER C : The Charter Oak Fire Insurance Company
25615
travelers Property Casualty Co of America
INSURER D : P y y
25674
INSURER E : .travelers Casualty and Surety Co of America
31194
INSURER F
COVERAGES CERTIFICATE NUMBER- 14Ri7652 RFVICIr)N NI IMRPP- XXXXXXX
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
INSD
SUBR
WV0
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
(MM/DDIYYYYI
LIMITS
X
COMMERCIAL GENERAL LIABILITY
Y
N
DTCOIE208124COF
3/1/2018
3/1/2019
EACH OCCURRENCE
1,000.000
CLAIMS -MADE OCCUR
DAMAGE
EcuREMSS (Ea occurrence)
$ 1,000,000
MED EXP (Any oneperson)
10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN1 AGGREGATE LIMIT APPLIES PER:
POLICY JERCOT ❑ LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER.
D
AUTOMOBILE
LIABILITY
Y
N
D1810IE208124TIL
3/1/2018
3/1/2019
Eaa.deDtSINGLELIMIT
$ 1,000,000
X
BODILY INJURY (Per person)
$ XXXXXXX
ANY AUTO
OWNED SC
AUTOS ONLY AUTOSULED
BODILY INJURY (Per accident
$ XXXXXXX
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$ XXXXXXX
$XXXXXXX
D
X
UMBRELLA LIAB
X
OCCUR
N
N
CUPIJ7416321826
3/1/2018
3/1/2019
EACH OCCURRENCE
$ 81000,000
AGGREGATE
$ 8,000,000
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$ XXXXXXX
13
WORKERS COMPENSATION
AND EMPLOERS'LABILI Y Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE �
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS beiow
N / A
N
UB9J591226
1/1/2019
1/l/2020
X SEATUTE ER
E.L. EACH ACCIDENT
$ 1 000 000
E L DISEASE - EA EMPLOYEE
1 000 000
E L DISEASE - POLICY LIMIT
1,000,000
A
D
L."
D
Prof/Poll Liab
Inst FItr/BR
Crime
Lease/Ren
N
N
PCM3342389
QT6608F328280`17L
106469953
QT630411594822-111-
9/22/2017
3/1/2018
2/23/2016
3/1/2018
3/1 /2019
3/1/2019
2/23/2019
3/1/2019
Lim: $2M per claim, Agg: $2M
Lim: $IM
Lim: $250,000
Lim $500,000 PER ITEM
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate Holder is Additional Insured as respects General and Auto Liability as required by written contract.
1,i I It'II.A I t MULUtK UANUELLAI ION See Attachments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
14827652
AUTHORIZED REPRESENTATIVE
The City of Fort Collins
Purchasing Department
PO Box 5810
Fort Collins, CO 80522
ACORD 25 (2016/03) @1988-20YS ACOR6 CORIP11RATION. All rights reserved
The ACORD name and logo are registered marks of ACORD