HomeMy WebLinkAbout548927 SKC COMMUNICATION PRODUCTS LLC - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE
I
TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPI
►TE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVET
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
BY
1 D/25/2019
OLDER: THIS
IMPORTANT:
PORTANT: If the Certificate holder is an ADDITIONAL!
INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
rm
the tes and Conditions of the policy, certain policies may
require an endorsement. A statement on.t_his certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
TRUSS
9200 Ward Parkway
Suite 500
CONTACT Certificate Department
PHONE FAX
• 816-708-4600 A/C No : 816 708-9193
ADD E . Certificates TrussAdvanta e.com
INSURER 3 AFFORDING COVERAGE
NAIC p
Kansas City MO 64114
INSURER A: Charter Oak Fire Insurance Company
25615
INSURED
SKC Communication Products, LLC
8320 Hedge Lane Terrace
Shawnee KS 66227
INSURER et Travelers Indemnity Company
25658
INsuRER c: Travelers C 8 S Co of America
31194
INSURER D: Farmington Casualty
41483
rn1/C0er=C rCCITICir ATC ►111MQCG• 4G0190a7" DCVICInW MI IUR=D-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICY 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
TR
TYPE OF INSURANCE
DL
BR
I .
POLICY -NUMBER
POLICTEFF
MM D
.POLICY.EXP
MM/D
LIMITS_,
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
_._
H6308L604m_cOF19
1111I2019
11I12020
EACH OCCURRENCE
$ 1,000,OOD
PREMISES Es oeeu RENTED
$ 1,000,000.
MED.EXP (An one parson)$10,006
PERSONAL 8 ADV INJURY
$1,0m,000.
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- I LOC
OTHER: _ .._.
GENERAL AGGREGATE
$2,0D0,000
PRODUCTS - COMP/OP AGG..$2,000,DD0.
...
$
8
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED
AOSAUTOS SCHEDULED
NON -OWNED
HIRED AUTOS AUTOS
11112019
il/l20211
O BINErDitSINGLE LIMIT
(EaX ccide
$1
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE-
(Per accident
$
_
C
X
UMBRELLA LIAR
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
CUPBL9B26961913
11112019
11I72020
EACH OCCURRENCE
$ 7.000.000
AGGREGATE
$ 7,0D0,060
DED I X I RETENTION
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILRY Y/ N
ANY PROPRIETORMARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? 7
(Mandatory in NH)
{1 yes, desvibe under
DSCRIPTION OF OPERATIONS below
N / A
UB81.63402619136
11112019
11/12020
X I PTAT T OR
E.L. EACH ACCIDENT
$1,OOQ000
E.L. DISEASE - EA EMPLOYE
-S 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,060
DESCRIPTION OF OPERATIONS I LOCATIONS / VEXICLES (ACORD 101, Addltlonal
The City of Fort Collins and Poudre Fire Authority are additional
Remarks Schedule, may Os altachod B more apace Is required)
insureds as respects general liability as required by written contract.
City of Fort Collins Purchasing
PO Box 580
Fort Collins CO 80522
ACORD 25 (2014101) The ACORD
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
4"
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