HomeMy WebLinkAboutINTERFACE COMMUNICATIONS COMPANY INC - INSURANCE CERTIFICATE (2)ACORD, CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
1/1/2020
3/1/2019
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
ryCONTACT
PHONE
A/C No Ext : A/C No):
E-MAIL
ADDRE
INSURER AFFORDING COVERAGE
NAIC 7!
(303) 414-6000
INSURER A : Great American Insurance Company
16691
INSURED Interface Communications Company Inc.
1401085 5400 Mount Meeker Road, Suite A
Boulder, CC 80301
INSURERB: Farmington Casualty Company
41483
INSURER C : The Charter Oak Fire Insurance Company
25615
INSURER D; travelers Property Casualty Co of America
25674
INSURER E :
IN RER F :
COVERAGES CERTIFICATE NUMBER: 14827652 REVISION NUMBER: 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
I N S D
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
(MM/DD(YYYYI
LIMITS
C
X
COMMERCIAL GENERAL LIABILITY
Y
N
D,rCOlE208124COF
3/1/2019
3/l/2020
EACH OCCURRENCE
1 OOO OOO
CLAIMS -MADE a OCCUR
PREMISES (ETO RENTED
occu ence)
$ 1,000,000
MED EXP (Any oneperson)
10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
POLICYa JE O ❑ LOC
P]
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER:
D
AUTOMOBILE LIABILITY
Y
N
8108L5281131926G
3/1/2019
3/l/2020
COMBINED SINGLE LIMIT
Ea accident
$ 1 OOO OOO
X ANY AUTO
BODILY INJURY (Per person)
$ XXXXXXX
AUTOSONLY WNED SCHEDULED
AUTOS
BODILY INJURY (Per accident
$ XXXXXXX
AUTOS ONLY AUTOS ONL�
PerOae.,dentDAMAGE
$ XXXXXXX
$XXXXXXX
D
X
UMBRELLA LIAB
X
OCCUR
N
N
CUPIJ7416321926
3/1/2019
3/1/2020
EACH OCCURRENCE
$ 81000,000
AGGREGATE
$ 8,000,000
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$ XXXXXXX
H
AWORKERS COMPENSATION NDEMPLOERS'LABILIIY Y/N
N
UM009J5912261826G
1/1/2019
1/l/2020
X STATUTE OER
E.L EACH ACCIDENT
$ 1,000,000
ANY OFFICER/MEMBER EXCLUDED? PROPRIETOR/PARTNER/EXECUTIVE N❑
(Mandatory in NH)
yes, under D
DESCRIPTION OF OPERATIONS below
N / A
E.L. DISEASE -EA EMPLOYEE
1,000,000
E.L DISEASE - POLICY LIMIT
1 000,000
A
D
D
Prof/Poll Liab
Inst. FItrBR
Lease/Ren
N
N
PCM3342389
T630411594822TIL
QT'630411594822-1-IL
3/l/2019
3/1/2019
3/1/2019
3/l/2020
3/l/2020
3/1/2020
Lim: $2M per claim, Agg: $2M
Lim: $1M
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.
I.CK I IrII.A I C MULUGK L:ANIaLLA I IUN gee Attacnments
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 580
Fort Collins, CO 80522 ,*
ACORD 25 (2016/03) @1988-20YS ACORb CORP RATION- All riahts resPrvprl
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