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HomeMy WebLinkAbout661511 ADVANCED CONTROL SYSTEMS INC - INSURANCE CERTIFICATEClient#: 1478393 ADVANCON8 1DD/YYYI� ACORDTM CERTIFICATE OF LIABILITY INSURANCE GATE (MM3/1(MM019 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 any rights to the certificate holder in lieu of such endorsement(s). NTACT PRODUCER ME: NAAME: Linda Rolfe Cameron M Harris & Co, LLC PHONE gg0-265-5804 F A/C No Ext : A/C, No AX Div USI Ins no RESS: linda.rolfe@usi.com 6100 Fairview Road Ste 1400 INSURER(S) AFFORDING COVERAGE NAIC # Charlotte, NC 28210 INSURER AAIGapeclaltyInsurance Company 26883 INSURED Advanced Control Systems, Inc. 2755 Northwoods Pkwy Peachtree Corners, GA 30071-1533 INSURER B • Valley Forge Insurance Company INSURER C : Underwriters at LLoyds INSURER D • Commerce & industry Insurance Co. INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 19410 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD LIMBS A X( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I I OCCUR EG24205501 3/03/2019 03/03/2020 EAACCHH OCCURRENCE $1,000,000 EREMISE PS EaEoNTEDence $300 000 MED EXP (Any one person) $ 25,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F7JJECOT ❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIOPAGG $2,000,000 $ D AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X NON -OWNED AUTOS ONLY CA3962352 3/03/2019 03/03/2020 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ -- A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE EGU24205502 3/03/2019 03103/2020 EACH OCCURRENCE $10 000 000 AGGREGATE $10 000 000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 6076016113 3/03/2019 03/03/202 X PER OTH- STATUTEIER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Technology E&O W243A2180101 8/21/2018 0812112019 $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The General Liability and Automobile Liability policies include an automatic Additional Insured endorsement that provides Additional Insured status to The City, its officers, agents and employees, only when there is a written contract that requires such status, and only with regard to work performed on behalf of the named insured. City of Fort Collins 300 LaPorte Ave. Fort Collins, CO 80521 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) 1 of 1 #S25233345/M25101831 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MWVZP