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HomeMy WebLinkAboutIMAGE TREND INC - INSURANCE CERTIFICATE (2)DATE (MM/DDNYYY) A`ORO® CERTIFICATE OF LIABILITY INSURANCE 6/13,2018 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 NTA T NAME: Jenny Saylor Associated Benefits and Risk Consulting PHONE g52-947-9700 AXAICNo : 952-947-9793 6000 Clearwater Drive E-MAIL Minnetonka MN 55343 ADDRESS: IqMy.saylor@associatedbrc.com INSURED IMAGEI3 ImageTrend, Inc. 20855 Kensington Blvd. Lakeville MN 55044 INSURER A: Federal Insurance Company INSURER B: Hartford Fire Insurance Corr INSURER C: Hartford Casualty Insurance INSURER D : rnVFRAnFS rFRTIFICATF NtIMRFR- 74AnRnR73 REVISION NUMBER: 19682 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 SUER POLICY NUMBER POLICY EFF MM/DD /YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y 41UUNZT8493 6/152018 6/15/2019 EACH OCCURRENCE $1,000.000 CLAIMS -MADE ExI OCCUR DAMAGE TO PREMISES EaENTED occurrr nce $ 1,000,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L POLICY ❑ PRO ❑ LOC JECT X PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y Y 41UUNZT8493 6/152018 6/152019 COMBINED SINGLE LIMIT Ea accident $ 1,000000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS PROPERTY DAMAGE Per accident $ X NON -OWNED X HIRED AUTOS AUTOS C X UMBRELLA LIAB X OCCUR Y Y 41XHUZT339 6/152018 6/15/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE E. FX RETENTION $ o $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 1, I N ANY PROPRIETOR/PARTNER/EXECUTIVE Y 41 WEA86LMI 6/152018 6/152019 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,D00 OFFICERIMEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 5D0,000 E.L. DISEASE - POLICY LIMIT $ 500, DDO If yes, describe under DESCRIPTION OF OPERATIONS below B A Technology Prof!CyLw Liability 3rd Party Crime/Fidelity Y 41TE0330029 18 82477411 6/152018 6/15/2018 6/152019 6/152019 Occ/Aggregate Limtt $5,000,000 Limit $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Network Security and Privacy Injury Liability are included in the Technology Errors & Omissions/Professional Liability. GENERAL LIABILITY - Blanket Additional Insured, Primary/Non-Contributory and Waiver of Subrogation (Endorsement #HC00010916); COMMERICAL AUTO - Blanket Additional Insured, Primary -Non -Contributory, Waiver of Subrogation (Endorsement #HA99160212); WORKERS COMPENSATION Blanket Waiver of Subrogation (Endorsement #000313) as required by written agreement or contract. City of Fort Collins and Poudre Fire Authority are Additional Insured as required by written contract or agreement. Poudre Fire Authority 102 Remington St Fort Collins, CO 80524 r`CATIFIr`ATC Wni 111=0 rANrFl I ATION RECEIVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins 300 LaPorte Ave Fort Collins CO 80521 JUN 19 2018 AUTHORIZED REPRESENTATIVE V lyt$tf-ZUl4 AcvrtU L,UKYUKA I IVN. All rlgnis reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD