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Home My WebLink AboutADVANCED CABLING SYSTEMS LLC - INSURANCE CERTIFICATE (5)DATE (MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 9/4/2015 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 CONTACT Kimberley Sweet NAME Stephens Insurance, LLC PO Box 3507 Little Rock AR 72203-3507 INSURED Advanced Cabling Systems, LLC 4950 Northshore Lane (AO,No,Ext►: (800)852-5053 (ENO) (501)377-2470 �- -- ADORIEss: kimberley.sweet@stephens.com INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A .Vallev Forge Insurance_. Company 20508 _ INSURERB:State Auto Property, and Casualty 25127_ INSURERC:Continental Casualty_ Company _ 20443 INSURERD:Rockhill Insurance Company 28053 INSURER E : (North Little Rock AR 72118 I INSURERF: r^nXrcoAf CC r r:DTICIrATC K1I IRARCD•CT.1 5941 OFRR RFVISI('1N NI IMRFR- 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 ADDLrSUBR LICY EXP EYY MI TYPE OF INSURANCE POLICY NUMBER MMUCY MIFIF LTR D/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 A I CLAIMS -MADE X i OCCUR PREMISES _(Ea -occurrence) X Contractual Liability__ 5095924325 9/8/2015 9/8/2016 MED EXP (Any one person) $ 5,000 X XCV - Not Excluded PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X ECT LOC PRODUCTS - COMP/OP AGG $ ,000,000 Employee Benefits $ 1,000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)-___ _ � $ 1,000,000 - X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BAP 2389388 02 9/8/2015 9/8/2016 BODILY INJURY (Per accident) $ AUTOS AUTOS NON --OWNED X X PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) - Medical Expense $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE Is _ 5,000,000 C EXCESS LIAB CLAIMS -MADE AGGREGATE i $ 5,000,000 DED X RETENTION$ 10,000 5095924311-02 9/8/2015 9/8/2016 I$ WORKERS COMPENSATION X PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $_ 1 , 000 , 000 OFFICER/MEMBER EXCLUDED? N / A A (Mandatory in NH) 5095924308 9/8/2015 9/8/2016 - E.L. DISEASE - EA EMPLOYE $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Excess Liability XS LIAB - TBD 9/8/2015 9/6/2016 Each Occurrence 5,000,000 A Stored Materials/ Temp Loc 5095924325 9/8/2015 9/8/2016 Limit of Insurance' 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract, Certificate Holder is named as Additional Insured with respects to General, Auto & Umbrella Liability Coverage. I1:1111:11111111111111:11Z City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 John Harbour/SWKI (0 19tSid-ZU14 AL UKU L L)KNUKA I IUIN. All rigniS reservea. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201 401)