HomeMy WebLinkAbout584816 DIVERSE COMPUTING INC - INSURANCE CERTIFICATEACORV CERTIFICATE OF LIABILITY INSURANCE
DAT //2020 Y)
04/02/02020
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 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, thepolicy(ies) must have ADDITIONAL INSURED proirisions 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).
PRODUCER -
CONTACT Kay Phillips
NAME:
Douglas M. Croley Inc.
HONE Batt: (850) 386-1922 FAX
Nb ., (850) 385-1685
-
-h-NVUL 5: kayphillips@dougcroleyins.comADDRE
2814 Remington Green Circle
_ INSURER(S) AFFORDING COVERAGE
NAIC #
P O Box 13619
INSURERA: The Travelers Property Casualty Insurance Company of
25674
Tallahassee _ _ _FL_ 32317_ __ __
INSURED
.INSURERS.: Travelers _Group _
INSURER C: Travelers Property Casualty Insurance Company
36161
Diverse Computing, Inc.
,INSURER D:._ The Phoenix Insurance Company
25623
3717Apalachee Parkway Suite 102
.INSURERS: _
.INSURER F
Tallahassee FL 32311
CnVFRAr.F§- CFRTIFICATF NUMBER- 20/21 Master REVISION. NUMBER,
THIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FOR THE POLICY PERIOD
INDICATED. 'NOTWITHSL4N16ING ANY REOUIREMENT, TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT %MTH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED: HEREIN IS SUBJECT TOALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.-
TR
- - � -- —TYPE OF INSURANCE
AIJULIbUISKI-
INSD
WVD
- POLICY NUMBER
(MWDDNYYYI
LIMITS
COMMERCIAL GeakAL uABiLITY
- -
.EACH OCCURRENCE
1, 000,000
$
CLAIMS -MADE ® OCCUR
DAMAGE TO RF TEL)
PREMISES Ea occurrence
$ 300,000 _
MED EXP (Anyone person) -
$-10,000
PERSONAL a'ADVINJURY
.$ 1.000.000
A
Y
ZLP-41M52620
03/06/2020
03/06/2021
GEN'LAGGREGATE.LIMITAPPLIESPER :
GENERAL AGGREGATE
$.2,000,000
POLICY PRO- LOC
jECT
PRODUCTS - COMPIOPAGG
$ 2,000,000
$
OTHER:
-
'--'-M---
AUTOOBILELOlBIUTY
- - - --
-
-COMBINED SINGLE LIMIT"-"
Ea accident
-----""--
s 11000,000
BODILY INJURY (Per person)
$
ANY AUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
Y
BA-8L302554
-
03/06/2020
--
03/06/2021
-
BODILYINJJURY_ (Per accident)
$
PROPERTY DAMAGE ---
Peraccitlent
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
UMBRELLA UAS
OCCUR
EACH OCCURRENCE
s 5,000,000
AGGREGATE
$ 5,000,000
C
EXCESSL14B
CLAIMS -MADE
CUP-91_111305
03/06/2020
03/06/2021
DED
RETENTION $
$
I
I
D
WORKERS COMPENSATION
- --
AND.EMPLOYERS' UABILRY
ANY PROPRIETORIPARTNER/EXECUTIVE y i N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) -
N/A
UB-OK500384
03/25/2020
03/25/2021
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
s 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000.
If yes,.descnbe under
DESCRIPTION OF OPERATIONS below
- -
E.L. DISEASE - POLICY LIMIT
1,000,000
$ i
Per Claim_
$200;000
C
Crime - employee theft
L60106538622
06/15/2017
06/15/2020
---
.. I .---. D .._ _. --- -- ----- - -
DESCRIPTION OF OPERATION$ /LOCATIONS'/VEHICLES (ACOR101. , Atldi.tional Remma arks Schedule, y be attached if more space is required)
Certificate Holder is additional insured with respect to General Liability and automobile coverages.
SHOULD ANY OF THE ASOVE DESCRIBED.POLICIES BE CANCELLED BEFORE.
THE EXPIRATION DATE THEREOF, NOTICE'WILL B_E DELIVERED IN
City of Collins ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522 7r
W 1Vti8-ZU1b wwrcu cUKFUKA nuN. An rignrs. reserves.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD