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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