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HomeMy WebLinkAbout611620 CYRACOM INTERNATIONAL INC - INSURANCE CERTIFICATE (3)CYRACINT A� O CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNYYY) 5/28/2020 THIS CERTIFICATE IS ISSUED AS A BELT1FICA THIS D ES N CATS IR NSVELY E DOES ATTER OF NATION 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 NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ids) 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 rights to the certificate holder in lieu of such endorsemen s . PRODUCER 'CONTACT - NAME: Ashley Ballesteros Commercial Lines -602-526-3000 PHONE 602-749 4249 FAX No): 602-279-5899 USI Insurance Services LLC E-MAIL s Jenn.Decker@usi.com 2375 East Camelback Rd, Suite 280 INSURERS AFFORDING COVERAGE NAIC it Phoenix, AZ 85016 MURERA: Transportation Insurance Conipa_ n_y 20494 INSURED wsuRERB: Continental Casualty Company 20443 CyraCom International Inc. INSURER c : National Fire Ins. of Hartford -A CNA Co. 20478 2650 E. Elvira Road, Suite 132 INSURER D: Endurance American Specialty Insurance COmpa 41718 I Tucson, AZ 85756 INSURER F rtnvooeeec 1AOn74ee--- 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, EXCLUSIO_ _NS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL UBR I POLICY EFF POLICY EXP LTR POLICYNUMBER MMMDIYYYY _. _ LIMITS A X COMMERCIAL GENERAL LIABILITY X 6080815386 6/1/2020 6/1/2021 EACH OCCURRENCE S 2,000,000 DAMAGE TO RENT PREMISES Ea occurrence $ 2,000,000 CLAIMS -MADE 7X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY S 1,060,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY Ea El LOC PRODUCTS - COMP/OP AGG $ 3,000,000 $ OTHER: B AUTOMOBILELIABILITY 6080815405 6/1/2020 6/1/2021 COMBINED SINGLE LIMIT Ea accident "$" 1.000,000 % BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY ) (Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAR X OCCUR 6080815419 6/1/2020 6/1/2021 EACHOCCURRENCE S 30,000,000 AGGREGATE S 30,000,000 EXCESS LIAR CLAIMS -MADE DED I I RETENTIONS S C WORKERS COMPENSATION AND EMPLOYERS' UABILITY 6080815422 6/1/2020 6/1/2021 % STATUTE ERH Y / N ANYPROPRIETOR/PARTNER/EXECUT VE OFFICER/MEMBER EXCLUDED? C NIA E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE -EA EMPLOYEE S 1,000,000 (Mandatory In NH) - If ns. desvibe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMB $ 1,000,000 D Prof Liab E80 Retro Date: 5/18/1998 PR030001115101 06/01/2020 06/01/2021 Each Claim $10,000,000/$10.00.000 _ Aggregate Retention: $100.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks schedule, may be attached if more space is required) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder only when there is a written contract that requires such status, and only with regard to work performed on behalf of the named insured. The General Liability policy contains a special endorsement with "Primary and Noncontributory" wording, when required by written contract. The City Of Fort Collins, Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATNE - The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016l03) II II II II II II III I I I I I I IIIII II II I III III I II I I II III I III IIII cvs02e281aoo174ro2/191W0ro/o• Client Code: CYRACINT SID:14997146 Certificate of Insurance (Con't) OTHER Coverage INSR TYPE OF INSURANCE ADDL WVD LTR INSR SUBR B Crime/Employee Theft Certificate Of Insurance -Cony ICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMIT (MM/DD/YY) (MM/DD/YY) 652227306 06/01/2020 06/01/2021 5.000,000 50,000 Retention 111111111111111 IN1111111111111111111111II11111111111111111 III CYBUB28=0114103119M NN• 6080815386 General Liability Extension Endorsement It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsemenf controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1. Additional Insureds 2. Additional Insured - Primary And i Non -Contributory To Additional Insured's Insurance 3. Bodily Injury— Expanded Definition 4. Broad Knowledge of Occurrence/ Notice of Occurrence 5. Broad Named Insured 6. Estates, Legal Representatives a i nd Spouses 7. Expected Or Intended Injury — Exception for Reasonable Force 8. In Rem Actions 9. Incidental Health Care Malpractice Coverage 10.. Joint Ventures/Partnership/Limited Liability Companies 11. Legal Liability — Damage To Pre _ imises_ 12. Medical Payments 13. Non -owned Aircraft Coverage 14. Non -owned Watercraft 15. Personal And Advertising Injury L Discrimination or Humiliation 16. Personal And Advertising Injury - Contractual Liability 17. Property Damage - Elevators 18. Supplementary Payments 19. Unintentional Failure To Disclose i Hazards 20. Waiver of Subrogation — Blanket! CNA74879XX (1-15) Page 1 of 14 Insured Name: copyright CNA. All Rights Reserved. dorsement No: Effective Date: copyrighted material of Insurance Services Office, Inc., with its permission. 11111 1111111111 IN 11111111111111111111111111111111111111111111111111111•cre02a2810D017ro.n9,of=ro•