HomeMy WebLinkAbout611620 CYRACOM INTERNATIONAL INC - INSURANCE CERTIFICATECYRACINT
A�ROr CERTIFICATE OF LIABILITY INSURANCE
DAT613/2019YYYl
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
Commercial Lines - (602) 279-5800
USI Insurance Services LLC
2375 E. Camelback Rd., Suite 250
Phoenix, AZ 85016
CONTACT NAME: Leslie Sereno
PHONE 602-666-4919 FAX 60
[AIC, No Ext. aC No: 2-279-5899
h-MADDRESS: Leslie. Sereno@usi.com
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURERA: Federal Insurance Company
20281
INSURED
m International Inc. 5780 N
5780 Swan Road
INSURERB: Great Northern Insurance Company
20303
INSURERC: Endurance American Specialty Insurance Compa
41718
INSURERD:
INSURER E
Tucson, AZ 85718
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14285048 RFVISIr1N NI Ill See below
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-ADDLISUIN
INSID I WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MM/DDIYYYY
--
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY X
CLAIMS -MADE Ex i OCCUR
35916492
06/01/2019
06l01 /2020
EACH OCCURRENCE
$ 2,000,000
DAMAGE TO ENTED
PREMISES Ea occurrence
$ 2,000,000
X
MED EXP (Any one person)
$ 10,000
Contractual Liability Included
PERSONAL & ADV INJURY
$ 1,000.000
GENERAL AGGREGATE
$ 3,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT � LOC
PRODUCTS - COMP/OP AGG
S Included
$
OTHER
B
AUTOMOBILE
LIABILITY
X
73562835
06/01/2019
06/01/2020
Ea ac.,deDtsINGLE LIMIT
$ 1,000,000
x
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY Per accident
( )
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
$
A
X
UMBRELLALIAB
x
OCCUR
79871454
06/01/2019
06/01/2020
EACHOCCURRENCE
$ 30,000,000
AGGREGATE
$ 30,000,000
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTIONS
$
A
WORKERS COMPENSATION Y / N
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? C
N/A
71707441
06/01/2019
06/01/2020
x STATUTE HRH
E.L. EACH ACCIDENT
_
$ 1.000,000.
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000.
(Mandatory in NH)
Des, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$ 1,000,000.
C Professional Services Liab.
Cyber Liab.
Technology Services Liab.
PRO30001115100
06/01/2019
06/01/2020
Each Claim $10,000,000/ $10,060,000 Aggregate
Retro Date: 5/18/1998
Retention: $100,000
DESCRIPTION OF OPERATIONS / LOCATIONS I 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
Certificate Holder only when there is a written contract that requires such status, and only with regards to work performed on behalf of the named insured.
The General Liability policy contains a special endorsement with "Primary and Noncontributory" wording, when required by written contract.
vu� n Ivry.- I-- t.ANt.CLLA I IVIV
City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn.: Purchasing Director ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, Colorado 80522 AUTHORIZED REPRESENTATIVE �N ,
I ne At.,UKLI name ana logo are registered marks of ACORD U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD "°°""„ 111111111111111111111111111111111111111111111 111I 1111111111111111111111111 I11 11 .._.._,....,