HomeMy WebLinkAboutARMORED KNIGHTS INC - INSURANCE CERTIFICATEAC"R"CERTIFICATE OF LIABILITY INSURANCE
DATE(MMDDYYYY)
14�
7/25/2019
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
NAME:
The Harry A. Koch Co.
PNDNE No, Exti, 402-861-7000 FAIC No):
P.O. BOX 45279
E-MAIL
Omaha NE 68145
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: North Pointe Insurance Company
27740
INSURED ARM76441
INSURER 6:
Armored Knights, Inc.
2330 Paul St
INSURER C:
IINSURER D:
Omaha NE 68102
INSURER E :
INSURER F :
rl1VFRCr:FS rFRTIFICATF NI IMRFR- 197497Q1QQ 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
rypE OFINSURANCE
JUMADDL
ye
POLICpOLICYNUMBER MMfDDY/YYYY
MMLDD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE D OCCUR
I
I
I
EACH OCCURRENCE
$
DAMAGE
PREMISES Ea ocwnence
S
MED EXP (Any one person)
S
PERSONAL B ADV INJURY
S
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO ❑ LOC
JECT
OTHER
GENERAL AGGREGATE
S
PRODUCTS-COMP/OPAGG
S
S
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA UAB
EXCESS UAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DERETENTIONS
S
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
EQB0200944
7/26/2019
7/26/2020
PER TH-
X STATUTE ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000.000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required)
The City of Fort Collins
215 N Mason St 2nd Floor
PO Box 580
Fort Collins CO 80522
SIG\C1RKRaIL�Il�JC1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
U 1988-2015 ACORD CORPORA I IUN. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD