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HomeMy WebLinkAbout561925 SELECTRON TECHNOLOGIES INC - INSURANCE CERTIFICATE (5)CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 01/24/2018 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 NAMBri Sandland WB Adams Co. PHONE 503 644-9945 EAX 503 644-9997 General Insurance EMAIL DRESS, CommorciaiLZ@wbadams.com 14737 SW Millikan Way INSURERS AFFOROtNG COVERAGE N IC Beaverton OR 97003 INSURER A: Sentinel Insurance Company 11000 INSURED INSURER B : Hartford Casualty Insurance Co. 29424 Selectron Technologies, Inc. 12323 SW 66th Ave. Portland, OR 97223 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 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. INSR ADDL5DBR rv,w, crr LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MIDD J D GENERAL LIABILITY EACH OCCURRENCE $ 1,1 DAMAGE TO RENTED S1,11 A X COMMERCIAL GENERAL LIABILITY 'RE MLSEa CLAIMS-MADE [�] OCCUR Y 12SBAR09216 01/31/2018 01/31/2019 MEDEXP (Any oneperson) $10 ecoenuAi k an%/ IM it IRV A 1.( 000 GENT AGGREGATE LIMIT APPLIES PER. X POLICY PRO JFCTLOC COMBINED SINGLE LIMIT $ 1,000 AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED 52UECPT5600 01131/2018 01/31/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE arx$ AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000 AGGREGATE $5,000 A EXCESS LIAB CLAIMS -MADE 52SBAR09216 0113112018 01/31/2019 WORKERS COMPENSATION ^ AND EMPLOYERS' LIABILITY c TPA ACN ACCIDENT 1 000,000 ANY PROPRIETORIPARTNERIEXECUTiV� N J A 152WRCGI3039 0q ray !""• - - B OFFICER/MEMBER EXCLUDED? (hiandat��y In t:H! If yes, describe under DESCRIPTION OF OPERATIONS below Data BreachlCyber Liability A Retroactive Date 01/31/2014 52SBAR09216 01/3112018 01131/2019 Limit $2,000,000 Ded. $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Fort Collins is named as Additional Insured as respects to General Liability when required by written contract. CERTIFICATE HOLDER City of Fort Collins PO Box 580 Fort Collins, CO 80522 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. AUTHORIZED '7TIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD