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HomeMy WebLinkAboutINTERFACE COMMUNICATIONS CO INC - INSURANCE CERTIFICATEAGORD,M CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 3/112018 12/27/2017 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 Lockton Companies 8110 E. Union Avenue Suite 700 Denver CO 80237 CONTCT NAME; A/C No Ext : A/C, No); E-MAIL ADDRE : INSURER(51 AFFORDING COVERAGE N IC N (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 B : Farmington Casualty Company 41483 INSURER C : 'I h, e Charter Oak Fire Insurance Company 25615 INSURER D : 1 ravelers Property Casualty Co of America 25674 -INSURER E: I ravelers Casualty and Surety Co of America 31 194 IN RER F : COVERAGES CERTIFICATE NUMBER: 14827(,5?_ RFVISInN NIIMRFR• 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 T TYPE OF INSURANCE ADDL INSO SUER Ii POLICY NUMBER POLICY EFF MM/DD/YYYYI POLICY EXP (MM/DDffYYYI LIMITS C. X COMMERCIAL GENERAL LIABILITY Y N DTCOIE208124COF 3/1/2017 3/1/2018 EACH OCCURRENCE 1,000.000 CLAIMS -MADE � OCCUR DAMAGE REM SES (ETO a RENTED 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER. PPOLICVFX—] JERCOT- ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 1 $ OTHER. D AUTOMOBILE LIABILITY Y N DT8101E208124TIL, 3/1/2017 3/1/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000 000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XXXXXXX AUROPETY TOS ONLY AUUTOS ONLY Perr ac cdentDAMAGE $ XXXXXXX $XXXXXXX D X UMBRELLA LIAB X IOCCUR N N CUPIJ7416321726 3/1/2017 3/1/2018 EACH OCCURRENCE $ 81000,000 AGGREGATE $ 8,000,000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N UB9J59122626G 1/ 1/2018 1 /l /2019 PER X STATUTE I I ERANYPROPR EL EACH ACCIDENT 1 $ I (lOO OOO PARTNERIEX OFFICER MEIMBOER/ EXCLUDED? ECUTIVE � (Mandatory in NH) It yes describe under DESCRIPTION OF OPERATIONS below NIA EL DISEASE - EA EMPLOYEE l OOO OOO E.L. DISEASE - POLICY LIMIT 1,000,000 A D ProUPoll Liab Inst. Fltr/BR N N PCM3342389 T6608F3282801IL 9/22/2017 3/1/2017 9/22/2018 3/1/2018 Lim: $2M per claim; Agg: $2M Lim $IM E D Crime Lease/Ren 106469953 QT6304115948221 IL, 2/23/2016 3/1/2017 2/23/2019 3/1/2018 Lim: $250,000 Lim: $500,000 PER ITEM DESCRIPTION OF OPERATIONS / LOCATIONS / 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. \+ MI IrwVMIC nvLl./CR I,XIY I,CLLH I IVI`I )Cr.1ALLaCIIII1e11LS 14827652 The City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 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 ( ,harles - 9`/Iorv/ ©1 B812015 ACORD CORPO ATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD