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HomeMy WebLinkAboutERGOFLEX SYSTEMS INC - INSURANCE CERTIFICATE_--o-mos""I ERGOSYS-02 MHC ,4`� ®• CERTIFICATE OF LIABILITY INSURANCE DATE 9n6/2o1s 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 AFFORDEb 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 poticy(ies) must have ADDITIONAL INSURED provisions or be endorsed: If SUBROGATION IS WAIVED, subject to the terms andlconditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rW6 to the certificate holder in lieu of such endorsement(s). PRODUCER HUB International Insurance Services (COL) 2000 S. Colorado Blvd., Tower2, Suite 150 Denver, CO 80222 (AM. No. Ent1: (7201207-2367 (AIC. No): (866) 243-0727 INSURED Ergoflex Systems, Inc. INSURER a : Travelers Casualty Insurance Company of Americ 19046 dbaxybix'Systems, Inc. INSURERC:The Phoenix.lnsurance Company 25623 COCRLLC .INSURER D : 8207 Southpark Circle Littleton, CO 80120 INSURER E .INSURER F :. _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR -THE POLICY PERIOD JOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED_ BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, MAY HAVE BEEN.REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLimsn SUBRvivo P0' UCY.NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 680009A16819519 10/1/2019 10/1/2620 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES aoccurrence 300,000 $ MED.EXP (Any.oneperson) $ 5,000 PERSONAL& ADV INJURY $ 1,000'000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [X] j08T 7 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 ( PRODUCTS -COMPIOR AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONE - BA9A17253A19 10/1/2019 10/1/2020 COMBINED SINGLE LIMIT - 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident BODILY $ PerOacEcide^tDAMAGE $ $ A X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE CU1-9A18091119 10/1/2019 10/1/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION$ 5,000 _ C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ (Mandatory in NHj EXCLUDED? If es, describe under DESCRIPTION OF OPERATIONS below NIA U85J67568819 - 10/1/2019 10/1/2020 X PERT UTE OTH- ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.LDISEASE- POLICY LIMIT - 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltio Ia] Project: Dispatch Center Work. Stations Remarks Schedule, may be attached If more space Is required) City of Fort Collins, Transfort Bus Div. David Carey, CPPB City of Fort Collins 6570 Portner Road Fort Collins, CO 80526 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE_ THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD