HomeMy WebLinkAboutIMAGE TREND INC - INSURANCE CERTIFICATE1 ®
ACORO CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
6/ 11 /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
Associated Benefits and Risk Consulting
6000 Clearwater Drive(A/C.
Minnetonka MN 55343
CONTACT
NAME: Jenny Saylor
PHONE 952-947-9700 Nc No : 952-947-9793
A/c No EXt
ADUREss: 'enn .sa for associatedbrc.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A : Federal Insurance Company/Chubb
20281
INSURED IMAGEI3
ImageTrend, Inc.
20855 Kensington Blvd.
Lakeville MN 55044
INSURER B: Hartford Fire Insurance Company
19682
INsuRERc: Hartford Casualty Insurance Company
29424
INSURER D : Trumbull Insurance Company
27120
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1681991953 REVISION NUMBER:
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
SUBR
POLICY NUMBER
MMIDDIYYYY
MMIDD/YYYY
LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
Y
Y
41UUNZT8493
6/15/2019
6/15/2020
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE LK OCCUR
DAMAGE TO RENTEI
PREMISES Ea occu$
1,000,000
MED EXP (Any one
$15,000
PERSONAL & ADV I$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREG$
2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY FX7 JEC LOC
$
OTHER:
D
AUTOMOBILE LIABILITY
Y
Y
41 UUNZT8493
6/15/2019
6/15/2020
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED �( NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
C
X
UMBRELLA LIAB
X
OCCUR
Y
Y
41XHUZT339
6/15/2019
6/15/2020
EACH OCCURRENCE
$5,000,000
AGGREGATE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
DIED I X RETENTION $ n
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIFTORIPARTNER/EXECUTIVE Y,r' I
Y
41WEAB6LM1
6/15/2019
6/15/2020
X IP STATUTE OTERH
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYEE
$ 500,000
OFFICER/MEMBER EXCLUDED? ��
(Mandatory in NH)
NIA
E.L. DISEASE - POLICY LIMIT
$ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
B
A
Technology Prof/Cyber Liability
3rd Party Crime/Fidelity
Y
41TE0330029 18
82477411
6/15/2019
6/15/2019
6/15/2020
6/15/2020
Occ/Aggregate Limit
Limit
$5,000,000
$500,000
DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Network Security and Privacy Injury Liability are included in the Technology Errors & Omissions/Professional Liability. GENERAL LIABILITY - Blanket
Additional Insured, Primary/Non-Contributory and Waiver of Subrogation (Endorsement #HG00010916); COMMERICAL AUTO - Blanket Additional Insured,
Primary -Non -Contributory, Waiver of Subrogation (Endorsement #HA99160312); WORKERS COMPENSATION Blanket Waiver of Subrogation (Endorsement
#000313) as required by written agreement or contract.
City of Fort Collins and Poudre Fire Authority are Additional Insured as required by written contract or agreement.
Poudre Fire Authority
102 Remington St
Fort Collins, CO 80524
CERTIFICATE HOLDER UANL:tLLA I IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
300 LaPorte Ave AUTHORIZED REPRESENTATIVE
Fort Collins CO 80521
u'
U lt)Utf-ZU1 O AGUKU L,UKYUKA I tUty. Art rlgms reservau.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD