HomeMy WebLinkAboutRAPID FIRE PROTECTION INC - INSURANCE CERTIFICATE (3)P521Ag28002
ACOROCERTIFICATE OF LIABILITY INSURANCE
t�--
DATE /YYYY)
06/28/20/20® 19
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 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 1-605-336-1090
Holmes Murphy & Assoc -SF
CONTACT
NAME:_
PHONE FAX
NC No):
E-MAIL
ADDRESS:
5120 S. Solberg Ave
INSURERS AFFORDING COVERAGE
NAIC9
Sioux Falls, SD 57109
INSURER A: Hartford Fire Insurance Company
_
INSURED
Rapid Fire Protection, Inc.
INSURER B: Travelers Property Casualty CO. America
INSURER C: Twin City Fire Insurance CO
INSURER D:
1530 Samco Rd
INSURERE:
Rapid City, SD 57702
_
INSURER F :
Ct7VFRAr FS CERTIFICATE Id11MR{70• grrQARZS DCViCV1a1 uriaaoco.
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
POLICY EFF
MMIDD
POLICY EXP
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE u OCCUR
91UENOR0211
04/01/1
06/19/19
EACH OCCURRENCE
$ 1, 000, 000
DAMAGE T RENTED
Ea PREMISES occurrence
$ 300, 000
MED EXP (Any one person)
$ 10, 000
PERSONAL & ADV INJURY
_
$ 1, 000, 000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- X LOC
PRODUCTS - COMP/OP AGG
$ 2, 000, 000
$
A
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
9=12M0212
04/01/1
06/19/19
COMBINED SINGLE LIMIT
Ea accident_ _
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
B
X
UMBRELLA LIAB
EXCESS LIAB
__ _
X
OCCUR
CLAIMS -MADE
ZUP91M4468219NF
04/01/1
04/01/20
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10, 000, 000
DIEDX RETENTION 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? F_N�
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
91WROB0210
04/01/1
06/19/19
TH-
X WCSTATU- ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 11000,000
I
DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
RE: Adtech
a,cn r rrn.n r c nvcvcn I,API I.CLLN l IVIY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580 AUTHORIZED REPRESENTATIVE �7
Fort Collins , Co 80526 /QJ/*
USA 1"'
OO 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
hheibergersf
56594835
00
w
O
00
a\
N
z
w