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HomeMy WebLinkAboutMASON WIRELESS SOLUTIONS LTD - INSURANCE CERTIFICATE (2)ACORO CERTIFICATE OF LIABILITY INSURANCE17/2/2015 DATE(MM/DD/YVYY) 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 Denver Agency Company 210 University Blvd, Suite 600 Denver CO 80206-4661 CONTNAME: Dena Wolfe, CIC PHONE . (303) 892-6900 FAx IA N A/C No:(303)892-6938 EMAILAbDRIESS: dena@denveragency.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Ohio Security Ins Co/Liberty 4082 INSURED Mason Wireless Solutions Ltd. 240 Wyandot Street Denver CO 80223 INSURER B:Amerlcan Insurance Co. /Allianz 21857 INSURERC:National Union Fire Ins/Chartis 19445 INSURERD:Pinnacol Assurance 41190 INSURER E: Gemini Insurance Company 10833 INSURERF:TW1n CitV Fire Ins Co/Hartford b 9459 COVERAGES CERTIFICATE NUMBER:15-16 certs RFVISInN NIIMRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD !NDICATED. 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR BKS55360269 07/01/2015 07/01/2016 DAMAGE TO RENTEDPREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 X Incl. Contractual Liab. X Includes XCU GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO X LOC $ AUTOMOBILE LIABILITY EO aBINEDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ZA80313516 7/01/2015 7/01/2016 X BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ 300 000 C X UMBRELLA LIAR X OCCUR E067888323 7/01/2015 7/01/2016 EACH OCCURRENCE $ 6,000,000 LlEXCESS AGGREGATE $ 6,000,000 LIAB CLAIMS -MADE DED I RETENTION $ $ D WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A 4157315 07/01/2015 7/01/2016 X WCSTATU- OE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEq $ 1 000,0001 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS bcl— E Pollution Liability/E&O PM-DP-00197-01 7/24/2015 07/24/2016 Includes Professional Liability $1, 000 000 F Crime/Employee Dishonesty 4KBO28571715 7/24/201507/24/2016 Includes Third Party coverage $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) u wry ww��� t,AIVt r_LLAI lUry CITY OF FORT COLLINS PO BOX 440 FORT COLLINS, CO 80522-0439 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 Auumu LO (LU7U/Ub) lmQniA i ,n , n Wolfe, CIC/DENA ©1988-2010 ACORD CORPORATION. All rights reserved. T"- A!`non ....-..... ..A 1- -- --- _....:.. a.. _....1 --..._L.. ..s Annon