HomeMy WebLinkAbout284919 ECONOLITE CONTROL PRODUCTS INC - INSURANCE CERTIFICATE (4)znsFrnunr.Rn
ACORD.. CERTIFICATE OF LIABILITY INSURANCE
DATE4/201IYYYY)
a/z4/2o1 s
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, the policy(ies) must 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
BBBT Insurance Services
CONTACT
NAME:
PAX: HONENo Eat): 714941-2800 AC No:
of Orange County
2400 Katella Avenue Ste 1100
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC0
Travelers IndemnityCompany of
INSURER A: TlP Y
25682
Anaheim, CA 92806
INSURED
Econolite Control Products, Inc.
INSURER B: Continental Casualty Company
20443
P r'tY Casualty
INSURER C: Travelers Property TlPa Co
25674
3360 E. La Palma Ave.
Anaheim, CA 92806
INSURER D :
MSURER E :
MSURERF:
n�eeveene-et r=a ICrr Atc Mltaaoco• 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 CONTRACTOR 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.
LtTRR
TYPE OF INSURANCE
MSR
yyyp
POLICY NUMBER
MY�CY EFF
POLICY EXP
LIMITS
A
GENERAL LIABILITY
6303193N600TCT15
4/27/2015
04127/2016
EACH OCCURRENCE
s1 000000
PREMISES E.00DJ enca
011010000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one Person)
$1 O OOO
CLAIMS -MADE F7X OCCUR
PERSONAL 6 ADV INJURY
$1 OOO OOO
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
s2 000 OOO
$
PRO-ECT LOC
POLICY 7
C
AUTOMOBILE LIABILITY
8103193N600TIL75
4/27/2015
04/27/201
E°a'/accrcideDSINGLE LIMIT
1 000 000
BODILY INJURY (Par Person)
$
X ANY AUTO
BODILY INJURY (Par aaitlen)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
X HIREDAUTOS X AUTOS
PROPERTYDAMAGE
Peracdoant
$
$
B
X
UMBRELLA LIAR
X
OCCUR
6012100161
0412712015
04127/2016
EACH OCCURRENCE
$2 000 000
AGGREGATE
s2.000.000
EXCESS LIAO
CWMS-MADE
DIED X RETENTION $10880
$
C
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY IN
ANY PROPRIETOR/PARTNER/EXECUTIVE YPROPRIETOR/PARTNER/EXECUTIVEE.L.
OFFICER/MEMBER EXCLUDED? ❑
(Myaandatory In NH)
NIA
U69501609615
7/2015M71201WCSTATU-
-
H-
EACH ACCIDENT
$1 000 000
E.L. DISEASE - EA EMPLOYEE
$1 000 000
E.L. DISEASE -POLICY LIMIT
$1 000 000
DIf EBS 0
SCdftb under
R PTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N mom space Is required)
Certificate Holder is added as Additional Insured with respect to the General Liability policy, Waiver of
Subrogation applies, per policy form #CGD4581008, as required by written contract, subject to policy terms,
conditions and exclusions.
RE: 7398 Video Detection System.
Certificate Holder Amended to Read: The City, its officers, agents, and employees.
City of Fort Collins
City's Director of Purchasing and Risk Mangement
PO Box 580
Fort Collins, CO 80522
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
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C 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S 14078372/M 14078366 VM MAD