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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