HomeMy WebLinkAbout611620 CYRACOM INTERNATIONAL INC - INSURANCE CERTIFICATE (2)CYRACINT
CERTIFICATE OF LIABILITY INSURANCE
T
r
6/3/20D/YYYY)
/3/2019
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
CONTACT Leslie Sereno
NAME:
Commercial Lines - (602) 279-5800
_
PHONE 602-666-4919 FAX 602-279-5899
AIC No Ell: : A/C No
USI Insurance Services LLC
ADDRESS: Leslie.Sereno@usi.com
2375 E. Camelback Rd., Suite 250
INSURER(S) AFFORDING COVERAGE
NAIC#
Phoenix, AZ 85016
INSURERA: Federal Insurance Company
20281
INSURED
INSURERB: Great Northern Insurance Company
20303
CyraCom International Inc.
INSURERC: Endurance American Specialty Insurance Compa
41718
5780 N Swan Road
INSURERD:
INSURER E :
Tucson, AZ 85718
INSURER F :
COVERAGES CERTIFICATE NUMBER: 14285648 RFVISInN NI IMRFR• 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.
ilk R
LIS
TYPE OF INSURANCE 'IADDL
IN
SUER
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
X
35916492
06/01/2019
06/01/2020
EACH OURRENCE
$ 2,000,000
AORE MACC
PREMISES I 1 occurrence
$ 2,000,000
X
MEO EXP (Any one person)
$ 10,000
Contractual Liability Included
PERSONAL & ADV INJURY
$ 1,000,000
AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY JECT X LOC
GENERAL AGGREGATE
$ 3,000,000
GEN'L
PRODUCTS - COMP/OP AGG
S Included
S
OTHER:
B
AUTOMOBILE
LIABILITY
X
73562835
06/01/2019
06/01/2020
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
A
X
UMBRELLA LIAS
X
OCCUR
79871454
06/01/2019
06/01/2020
EACH OCCURRENCE
S 30,000,000
AGGREGATE
$ 30,000,000
EXCESS LIAB
CLAIMS -MADE
DED RETENTIONS
$
A ,
WORKERS COMPENSATION
AND EM'PLOYERSLIABILITY
YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? C
NIA
71707441
06/01/2019
06/01/2020
X STATUTE oRH
E.L. EACH ACCIDENT
$ 1,000.000.
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000.
(Mandatory in NH)
If yes. describe under
E.L. DISEASE -POLICY LIMIT
S 1,000,000.
DESCRIPTION OF OPERATIONS below
C
Professional Services Liab.
Cyber Llab.
Technology Services Liab.
PRO30001115100
56/01/2019
06/01/2020
Each Claim $10,000,00o/ $10,o60,ow Aggregate
Retro Date: 5/18/1998
Retention: s100,000
DESCRIPTION OF OPERATIONS I 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.
-1 . 1. .--. I I IVL1..IGn
The City of Fort Collins, Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
I he ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved.
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