HomeMy WebLinkAbout414857 DICTOGUARD DBA SECURITY ALARM SYSTEMS INC - INSURANCE CERTIFICATE (3)a
A``R " CERTIFICATE OF LIABILITY INSURANCE
(MWDDNYY
DATE
5/20/2015 Y)
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
Flood and Peterson
PO Box 578
Greeley CO 80632
CONTACT Kayla Keever
NAME: y
PHONENo. ExtI,(970) 356-0123 FAX (170)330-1867
EAI
-ML .KKeever@floodpeterson.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:Twin City Fire Insurance
INSURED
Dictoguard
Security Alarm Systems, Inc. Dba
914 14th Street
,Greeley CO 80631
INSURER B:Hartford Underwriters
INSURERC:Pinnacol Assurance
41190
INSURER D :
INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1552002943 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 REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
UBR
POLICY NUMBER
EFF
MMLIDY YYY
Y EXP
MM/DDYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 11000,000
X COMMERCIAL GENERAL LIABILITY
AMRENTED300,000
PREMISES Ea occurrence
$
A
CLAIMS -MADE 7XI OCCUR
34SBPQD5064
5/10/2015
5/10/2016
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 11000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 21000,000
$
X POLICY PRO LOC
I
I
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
11000,000
X
BODILY INJURY (Per person)
$
B
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
34UECP07363
5/10/2015
5/10/2016
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accid nt
$
NON -OWNED
HIRED AUTOS AUTOS
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
RED I I RETENTION $
$
C
WORKERS COMPENSATION
X WC STATU- OTH-
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N / A
1970130
/1/2014
/1/2015
E.L. DISEASE- EA EMPLOYE
$ 1,000,000
if yes, descriue under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 11000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Ft. Collins
P 0 Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522-0000
Kayla Keever/KKEEVE
ACORD 25 (2010/05)
INS025 (201005).01
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD