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Home My WebLink About611620 CYRACOM INTERNATIONAL INC - INSURANCE CERTIFICATE (5)67034 ,aco CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 6/1 /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 have ADDITIONAL INSURED provisions or 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 NAME: Leslie Sereno Commercial Lines - 602-528-3000 HOONE EXt : 602 666 4919 ac No): 602-279-5899 USI Insurance Services National, Inc. ADDRESS: Leslie.Sereno@usi.com 2375 East Camelback Rd, Suite 250 INSURERS) AFFORDING COVERAGE NAIC 4 Phoenix, AZ 85016 INSURERA: Federal Insurance Company 120281 INSURED CyraCom International Inc. 5780 N Swan Road Great Northern Insurance Llovd's of London 20303 ' Tucson, AZ 85718 ( INSURER F : n,wco ne rr0DrlrlrATE Kit11AM=D• 11112594 RFVIRInN NIIMRFR- See below 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. ILTR -- ��ADDL TYPE OF INSURANCE INSD SUBR WVD _ POLICY NUMBER POLICY EFF MMIDD[YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 35916492 06/01/2018 06/01/2019 EACH OCCURRENCE $ 2,000,000 DAMAGETO PREMISES Ea occurrence $ 2,000,000 X MED EXP (Any one person) $ 10,000 Contractual Liability Included PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ Included POLICY ❑ PRO 7 LOC JECT $ OTHER B AUTOMOBILE LIABILITY X 73562835 06/01/2018 06/01/2019 EO aBIcN1eDISINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED $ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB X OCCUR 79871454 06/01/2018 06/01/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION A AND EMPLOYERS' LIABILITY YIN N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? C (Mandatory in NH) N/A 71707441 06/01/2018 06/01/2019 PR X STATUTE OH E.L. EACH ACCIDENT 1,000,000. $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000. E.L. DISEASE -POLICY LIMIT I $ 1,000,000. If yes, describe under DESCRIPTION OF OPERATIONS below C Prof Llab E&O MPL114732018 06/01/2018 06/01/2019 Each Claim $5,000,000/ $5.000,000 Aggregate Retro Date: 5/18/1998 Retention: $35,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional insured with regards to Auto Liability applies per attached form 16-02-0292 (11-16). Additional Insured Status for General Liability applies as per attached form 80-02-2367 (5-07). Notice of Cancelation applies per attached forms, 16020303 for Auto Liability and 80029780 for General Liability. CLK I II-IUA I L HULULK q_1AlV1L;L_L111 IV" The City of Fort Collins, Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD V 19t3S-2U1b AUUKU UUKYUKAI IUN. AU ngnis reserveu. ACORD 25 (2016103) 1IIIII111111IIIIIIIII IIIIII1111111111III111111 I1111II1111 I1111111111IIII1111111 -CYB04B01 /000014/02/09/0/0/010'