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Home My WebLink AboutTRIBUS SERVICES INC - INSURANCE CERTIFICATE,4cC71R"CERTIFICATE OF LIABILITY INSURANCE DAT1/25/2018) 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 NAME: MARSH USA INC. 6500 SHERIDAN DRIVE, SUITE 114 PHONE 1-866-616-0088 A c, No, Ext : FAX 416-349-4564 A/C, No EMAIL WILLIAMSVILLE, NY ADDRESS: INSURERS AFFORDING COVERAGE NAIC # U.S.A. 14221 INSURER A: INSURED Tribus Services, Inc. INSURER B: Travelers Property Casualty Co. of America 25674 11020 West Plank Court, suite 100 INSURER C: INSURER D: Travelers Property Casualty Co. of America 25674 Wauwatosa, WI 53226 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 17/18-065-ALWC REVISION NUMBER: 1 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 INSR SUER WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS-MADE1-1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO - POLICY F—IJECT LOC B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $1,000,000 BODILY INJURY (Per person) S X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS TC2J-CAP- 8201A36A-TIL-17 11/01/2017 11/01/2018 PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ 1 1 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N TC2E-UB-8203A106- X WC STATU- TCRY LIMITS OTH- ER E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE NO I OFF)CFR/MFMBFP EXCIA 1DED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A TIC-17 TRJ-U B-8203A099- TIL-17 i 1/01/2017 11101 i2016 E.L. DISEASE - EA EMPLOYEE $1, 000, 000 E.L. DISEASE - POLICY LIMIT $1 ,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Proof of U.S. Workers' Compensation & Employers Liability and U.S. Auto Liability coverage. Master Services Agreement for Endpoint Installation CERTIFICATE HOLDER CANCELLATION City of Fort Collins 700 Wood Street Fort Collins, CO 80521 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 REPRESENTATIVE n 19RR-2n1n ACORD CORPORATION. All riahts reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD