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HomeMy WebLinkAboutKINETIC SYSTEMS INC - INSURANCE CERTIFICATEKINETIC-02 HBCT01 ,4coRL7 CERTIFICATE OF LIABILITY INSUR/03/201 LANCE FDATE 01103/2 Y9 `--� 1 9 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 License # 0564249 CONTACT AME: - -- -- --- Heffernan Insurance Brokers PHONE Fax 1460E O'Brien Drive mac. No, x,� (65� 842-5200 ta�c, No):(650) 842-5201 Menlo Park, CA 94025 �,DORIEss: INSURED Kinetic Systems, Inc. 3083 Independence Drive Livermore, CA 94551 F: rn11I=0A!_FC rFRTIFIr ATF MIIMR;:P- RGVI-ZIr1M MIIMRFR- 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 TYPE OF INSURANCE 'ADDL SUER'. POLICY NUMBER POLICY EFF LTR IND WV M POLICY EXP M DI D/YYYYI LIMBS _ _ A X '', COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,0001 CLAIMS -MADE I X OCCUR US00077430L119A 01/01/2019 I 01/01/2020 PREMI ETORENTED _REMISES(Eaoccurrence)_ $$._-.. 100,000 _ I MED EXP (Any one person) $ 5,000 2,000,000 PERSONAL & ADV INJURY $ 2,000,000 GE_N'LAGGREGATE LIMIT APPLIES PER: T �_. LOC '_: POLICY _ X- JEC GENERAL AGGREGATE $ PRODUCTS-COMP/OPAGG �$ 00 2,000,0 --- — AUTOMOBIRLE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 I (Ea ec�i4�nt1 - . -- X ANY AUTO i - IBAP023069503 01/01 /2019 01 /01!2020 BODILY_ INJURY (Per person) - $ -_ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS -MADE US00077431LI19A 01!01/2019 01/01/2020 AGGREGATE $ 3,000,000 DED X RETENTION $ 10,000 - _- -----------.-_------------_- - �— -- $ B WORKERS COMPENSATION X PER OTH- STAZUIE ER I_...__ AND EMPLOYERS' LIABILITY Y./ N WCO23069403 01/01/2019 01/01/2020 � 1,000,000 ANY PROPRIETOWPARTNER'EXECUTIVE NIAI E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L=DDISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ _ 1,000,000 _ i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: State of Colorado Master Plumber's License, Michael Cables, Master Plumber, License #MP-504 City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD