HomeMy WebLinkAbout611620 CYRACOM INTERNATIONAL INC - INSURANCE CERTIFICATE (4)CYRACINT
ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(�fDDfYYYY)
s� 1 5/27/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA IV ' 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 iCERTIFICATE , HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have -ADDITIONAL INSURED provisions of tie 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 endorsements .
PRODUCER —
Commercial Lines - 602-528-3000
USI Insurance Services LLC
2375 East CamelZ 8501 ack Rd, Suite 250
Phoenix, AZ 85016
CONTACT Ashley Ballesteros
PHONE Bit602-749 4249 FAX N, ; 602-279-5899
E-MAIL ss: Jenn.Decker@usi,com
INSURER(S)AFFORDING COVERAGE
NAIC ri
INSURER A: Transportation Insurance Company
20494
INSURED
CyraCom International Inc.
2650 E. Elvira Road, Suite 132
INSURERB: Continental Casualty Company
20443
INSURERC: National -Fire Ins. of Hartford -A CNA Co.
20478
INSURER D: Endurance American; Specialty Insurance Compa,
41718
INSURER E:
T_UCSon, AZ 85756
-
INSURER F:
COVFRA(SFS ctwTlvlr ATc MI
=a. lAQQR914
.. .. - ..�..:...::.. :.. ..:.:...: �... ,-. .
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
TYPE OF INSURANCE
ADOL
UBR
-POLICY NUMBER.
MM/DOfO�Y
AMUDY�PjfYYYYj
LIMITS
A
X
commERCLALGENERALLIAmiurr'
X
608Oi315386
EACH OCCURRENCE
S 2,000,000
6/1/2020
6/1/2021DAMAGE
TO RENTED
PREMISES Ea occurrence
S 2,000,000
CLAIMS -MADE � OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL &ADV INJURY
S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 3,000,000
X POLICY1:1 JECT
LOC
PRODUCTS - COMP/OP AGG
$ 3.000,000
i $
OTHER:
I
I
I
B
AUTOMOBILE
LIABILITY
60808�15405
6/1 /2020
6/1/2021
COMBINED SINGLE LIMIT
Ea aLdent
$ 1,000,000
X
ANYAUTO
BODILY INJURY (Per person)
g
OWNED.. SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY )
(Per accident
$
HIRED - X NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
-
$
B
X I
UMBRELLA LIAR
X OCCUR
6080815419
6/1/2020
6/1/2021
EACHOCCURRENCE
S 30,060,060
AGGREGATE
$ 30.000,000
EXCESS LIAR
CLAIMS -MADE
DED RETENTIONS
$
C
WORKERS COMPENSATION -
AND EMPLOYERS' LIABILITY
-
6090815422
6/1/2020
6/1/2021
_
X STATUTE ERH
YIN
ANYPROPRIETOR/PARTNER/EXECUTWE
OFFICERIMEMBEREXCLUDED9 C
N / A
E.L. EACH ACCIDENT
- 1,000,000
$ -
E.L. DISEASE - EA. EMPLOYEE
S 1,000,000
(Mandatory In NH)
If yes, describe under
E.L. DISEASE -POLICY LIMIT
$ 1,000;000
DESCRIPTION OF OPERATIONS below
D
Prof"Liab E&O
Retro Date: 5/18/1998
PR030001115101
06/0112020
06/01/2021
Each Claim f10,000.0001$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 inquired)
The General Liability policy includes an automatic Additional Insured
endorsement that provides Additional Insured status to the Certificate Holder
when there is a written contract that requires such status, and
only
only with regard to work performed on behalf of the named insured. The General Liability
policy contains a special endorsement with "Primary and Noricontributory"
wording, when required by written contract.
City of Fort Collins
Attn.: Purchasing Director
PO Box 580
Fort Collins, Colorado 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROV[SIONS.
AUTHORIZED REPRESENTATNE
1
The ACORD name and logo are registered marks of ACORD 01988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) IIIIIII I I IIIII� 1111
IIII 1111111111111111111111
Hill
111111
IIII IIII 1111111111
Hill 1111
IIII-CYBG2527/00W6MD19/0]0 oro'
Client Code: CYRACINT
SID:14996233
Certificate of Insurance (Con't)
OTHER Coverage
INSR TYPE OF INSURANCE ADDL WVD
LTR INSR SUBR
B Crime/Employee Theft
Certificate Of Insurance-Con't
NUMBER EFFECTIVE'DATE EXPIRATION DATE
(MMfDD/YY) (MM/DD/YY)
652227306 06/01/2020 06/01/2021
LIMIT
5,000,000
50.000 Retention
1111111111111 111111111 IN 111111111111111111111111111111IN 111111111111111111 'CYBW82110008=3/1910NNI0'