HomeMy WebLinkAbout600242 IMAGETREND INC - INSURANCE CERTIFICATENY
A6 �® CERTIFICATE OF LIABILITY INSURANCE DATE
E 02° "'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO-RMATION 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).
CONTACT
PRODUCER NAME: Jenny Saylor
Associated Benefits and Risk Consulting PHONE g52-947-9700 ac No:952-947-9793
6000 Clearwater Drive E-MAIL
Minnetonka MN 55343 ADDRESS: jenny.saylor@associatedbrc.com
INSURED
ImageTrend, Inc.
20855 Kensington Blvd.
Lakeville MN 55044
IMAGEI
Hartford Fire Insurance
Hartford Casualty Insur,
I I INSURER F: Travelers Casualty & Surety Company of America 19038
COVERAGES CERTIFICATE NUMBER: 1325091038 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 REDUCEDBY PAID CLAIMS.
INSRTYPE
LTR
OF INSURANCE
ADDL
UBR
POLICYNUMBER
POLICYEFF
MM/D
POLICY EXP
MM/DD
LIMITS
A
X
COhIMERCIALGENERALLIABILITy
Y
V
41UUNZTS493
6/15/2020
6/15/2021
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE 1XI OCCUR
EITEI
PREMISES Eaoo6'anoe
$1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICY X JEa LOC
PRODUCTS - COMP/OP AGG
$2,000,000
$
OTHER:
C
AUTOMOBILE LIABILITY
V
V
41UUNZT8493
6/15/2020
6l15/2021
COMBINED SINGLE LIMIT
Ea accident)$1,000,000
BODILY INJURY(Pw person)
$
X ANY AUTO
OWNED SCHTOSEDULED
AUTOS ONLY ALIT
U
1AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accidem
$
HIRED NON -OWNED
ONLY AUTOS ONLY
B
X
uMeRELLALIAB
X
OCCUR
Y
Y
41XHUZT7339
6/15/2020
6/15/2021
EACHOCCURRENCE
$5,000,000
AGGREGATE
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
DED I X I RETENTION$ in nnn
$
I
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE
Y
41WEAB6LMI
6/15/2020
6l15/2021
X PER TH-
STATUTE ER
E.L. EACH ACCIDENT
$ 500,000
OFFICERIMEMBER EXCLUDED?
NIA
E.L.DISEASE -EA EMPLOYEE
$500,000
(Mandatory in NH)
If yes. descnbeunder
DESCRIPTION OF OPERATIONS below
E.L. DISEASE cPOLICY LIMIT
$ 500,000
D
E
F
Technology Pror/Cyber Liability
Exess Tech ProflCyber Liability
Cnme/Fidelity
V
P-001-060355526-01
MTE9041333
107170808
611 W2020
6/15/2020
10/15/2019
6/15/2021
6/15/2021
6/15/2021
OcuAggregate Limit
Occ/Aggregate Limit
Limit
$5,000,000
$5,000,000
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional
Network Security and Privacy Injury Liability are included in the
Additional Insured, Primary/Non-Contributory and Waiver of Subrogation
Remarks Schedule, may be attached if more space Is required)
Technology Errors & Omissions/Professional Liability. GENERAL LIABILITY - Blanket
(Endorsement #111300010916) COMMERICAL AUTO - Blanket Additional Insured,
Primary -Non -Contributory, Waiver of Subrogation (Endorsement
#HA99160312); WORKERS COMPENSATION Blanket Waiver of Subrogation (Endorsement
#WC000313) 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
r6Idri91 =1150TAr=1111!ren11dr �w•I: r.l:1lvarrer
HOULD ANY OF THE ABOVE DE CRIBED POLICIE BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVI ION .
City of Fort Collins
300 LaPorte Ave
Fort Collins CO 80521
AU/%PJJED REPRESENTATIVE
C 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD