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HomeMy WebLinkAboutINTERFACE COMMUNICATIONS COMPANY INC - INSURANCE CERTIFICATE (3)AGORD, CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY) 9/22/2018 1 2/28/2018 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 Lockton Companies 8110 E. Union Avenue 110 Suite 700 Denver CO 80237 CONTACT NAME: H AIC No Ext : AC,No ; E-MAIL AD DRESS: IN RER S AFFORDING COVERAGE NAIC # (303) 414-6000 INSURER A: Great American Insurance Company 16691 INSURED Interface Communications Company Inc. 1401085 ICC Wireless LLC 5400 Mount Meeker Road, Suite A Boulder, CO 80301 INSURER 8 : Farmington Casualty Company 41483 INSURER C : 'The Charter Oak Fire Insurance Company 25615 -INSURER D ; Travelers Property Casualty Co orAmerica 25674 -INSURER E: Travelers Casualty and Surety Co of America 31194 INSURER F ; COVERAGES CERTIFICATE NUMBER: 14827652 REVISION NUMBER: XXXXXXX 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 INSD SUBR NND POLICY NUMBER POLICY EFF 1MMIDDtYYYYI POLICY EXP [MMIDOIYYYYILIMITS C X COMMERCIAL GENERAL LIABILITY Y N DTCOIE208124COF 3/1/2018 3/1/2019 EACH OCCURRENCE 1,000,000 CLAIMS -MADE � OCCUR AGE (Ea TO RENTED ) $ 1,000,000 MED EXP (Any one erson 10,000 PERSONAL 6 ADV INJURY $ 1000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY SECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER D AUTOMOBILE LIABILITY Y N 1Y1'8101E208124TIL 3/1/2018 3/1/2019 COMBINED SINGLE LIMIT Ea accident $ 1 000 OOO X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AWNED S UTOS ONLY AUTOSULED BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $XXXXXXX D X UMBRELLA LIAB X OCCUR N N CUPIJ7416321826 3/1/2018 3/1/2019 EACH OCCURRENCE $ 810001000 AGGREGATE $ 8,000,000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX 1-; WORKERS COMPENSATION AND EMPLOYERS' LABILIITY YIN N UB9J59122626G 1/1/2018 1/l/2019 P X STATUTE �R E L. EACH ACCIDENT $ �000 Q00 OFFICER/MEMBERANYPROPRIETOR/ EXCLUDED? ECUTIVE N❑ (Mandatory in NR) If yes, describe under DESCRIPTION OF OPERATIONS below N / A' E.L. DISEASE - EA EMPLOYEE 1,000,000 E L. DISEASE POLICY LIMIT 1,000,000 A D Prof/Poll Liab Inst. Fltr/BR N N PCM3342389 T6608F328280T1L 9/22/2017 3/1/2018 9/22/2019 3/1/2019 Lim: $2M per claim, Agg: $2M Lim: $1M E p Crime Lease/Ren 106469953 QT6304115948221'1L 2/23/2016 3/1/2018 2/23/2019 3/1/2019 Lim:$250,000 Lim: $500,000 PER ITEM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is Additional Insured as respects General and Auto Liability as required by written contract. GEK I If-ICA I E HL)LUEK CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14827652 AUTHORIZED REPRESENTATIVE The City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 ACORD 25 (2016/03) ©1 8 201E ACORD CORPO TION. All riahts reserved The ACORD name and logo are registered marks of ACORD