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Home My WebLink About554065 G4S SECURE SOLUTIONS INC - INSURANCE CERTIFICATE (4)�� ® AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) D9/2,/2017 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 Aon Risk Services, Inc of Florida 1001 Bri ckel l Bay Drive CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Ext): (A/C. No.): E-MAIL ADDRESS: Suite 1100 Miami FL 33131 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 G4S Secure Solutions (USA) Inc. 1395 University Blvd 7upiter FL 33458 USA INSURERB: American Home Assurance Co. 19380 INSURERC: Illinois National Insurance Co 23817 INSURER D: New Hampshire Insurance Company 23841 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 5700684782 i6 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 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE I INSD U WVD POLICY NUMBER MBIR OLICY FF POLICY EF POLIC EXP POLICY E P YYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑OCCUR DAMAGET NTE PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) EXC1 uded PERSONAL& ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $1,000,000 X POLICY LiPRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $1,000,000 OTHER: A AUTOMOBILE LIABILITY Y CA 709-32-80 ADS 10/01/2017 10/01/2018 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY( Per person) A X ANYAUTO CA 709-32-81 10/01/2017 10/01/2018 OWNED SCHEDULED MA BODILY INJURY (Per accident) A AUTOS ONLY AUTOS CA 709-32-82 10/01/2017 10/01/2018 HI RED AUTOS NON -OWNED ONLY AUTOS ONLY VA PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB HCLAIMS-MADE DED RETENTION D B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFF ICER/MEMBEREXCLUDED? (Mandatory in NH) N/A wC086326400 ADS WC086326395 CA 10/01/2017 10/01/2017 10/01/2018 10/01/2018 X PER OTH- STATUTE ER E. L. EACH ACCIDENT $1,000,000 EL DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS betc, E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Services Agreement effective :January, 23, 2017. Location of services: 215 N. Mason St Fort Collins, Co 80522. City of Fort Collins, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. G4S Branch: DEN. CERTIFICATE HOLDER 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. City of Fort Collins, Colorado AUTHORIZED REPRESENTATIVE Attn: Purchasing Department Po Box 580 Fort Collins, Co 80522 USA CO N 00 V co 0 0 Lo O Z C) R U tU U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10515775 LOC #: '4 ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services, Inc of Florida NAMEDINSURED G4S Secure Solutions (USA) Inc. POLICY NUMBER See Certificate Number: 570068478216 CARRIER See certificate Number: 570068478216 NAIC CODE EFFECTIVE DATE: i ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE EF DATE MMIDDNYYY POLICY EXPIRATION DATE MMIDD LIMITS WORKERS COMPENSATION C N/A wcO86326396 FL 10/01/2017 10/01/2018 D N/A WC086326402 MA, WI - incl. Stop Gap 10/01/2017 10/01/2018 D N/A wC086326401 AK,AZ,IL,KY,NC,NH,UT,VA 10/01/2017 10/01/2018 D N/A wcO86326397 ME 10/01/2017 10/01/2018 D N/A WC086326403 NJ, PA 10/01/2017 10/01/2018 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD