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HomeMy WebLinkAboutSURELOCK PLUS LLC - INSURANCE CERTIFICATESUREPLU-01 PDEAVER ,4coR0 CERTIFICATE OF LIABILITY INSURANCE DATE7 2/2 D/YYYY) /2I2015 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 CONTNAME:- Pat Pat Deaver TrueNorth PHONE 776-5122 FAX PO Box 847 A/c No Ext : (303 ) A/C No): (303) 776-5495 Longmont, CO 80502 ADDRESS: pdeaver&ruenorthcompanies.com INSURED SureLock Plus, LLC 2744 Grinnell Drive Longmont, CO 80503 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: First Mercury Insurance Company 10657 INSURER B :Owners Insurance Company 32700 INSURER C : Plnnacol Assurance Company 41190 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER! 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 rypE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CGL0000055610 07/01/2015 07/01/2016 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY E LOC OTHERS GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMP/OP AGG $ 2,000,00 $ 5,000,00 TOTAL AGGREGATE B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED I SCHEDULED AUTOS AUTOS NON -OWNED _1 HIRED AUTOS AUTOS 4512634300 07/01/2015 07/01/2016 COMBINED SINGLE LIMIT Ea accident $ 100000 1,000,000 $ X I BODILY INJURY (Per person) BODILY INJURY (Per accident) $ r ER PerOaccidentDAMAGE $ $ A UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS -MADE DED i RETENTION $ EX0000055611 07/01/2015 07/01/2016 EACH OCCURRENCE $ 3,000,00 X AGGREGATE $ 3,000,00 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C. ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4045600 07/01/2015 07/01/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT 1, $ 1,000,00 A Professional Liab CGL0000055610 07/01/2015 07/01/2016 Per claim/Aggregate 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD