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HomeMy WebLinkAboutADVANCED CABLING SYSTEMS LLC - INSURANCE CERTIFICATE (6)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) � 16- - 9/7/2017 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 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 Felecia Prince NAME: Stephens Insurance, LLC (AIC,NNo,Ext): (800)852-5053 FAx No); (501)377-2470 PO Box 3507 ADDRESS:felecia.prince@stephens.com INSURER(S) AFFORDING COVERAGE NAIC N INSURERA.VallleyForge Insurance Company 20508 Little Rock AR 72203-3507 INSURED INSURERB:S_tate Auto Property and Casualty 25127 INSURERC:Continental Casualty Company Advanced CablingSystems, LLC Y 20443 4950 Northshore Lane INSURERDNavigators Insurance _ 42307 INSURER E : _ North Little Rock AR 72118 INSURER F : COVERAGES CERTIFICATE NUMBER:2017-2018 Master 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. INSR SUER POLICY EFF XP TYPE OF INSURANCEADOL LTR POLICY NUMBER MM D/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES occurrence) IS 500,000 Xi Contractual Liability X 6043153667 9/8/2017 9/8/2018 MED EXP (Any one person ._ $ 15,000 $ 1,000,000 x XCU - Not Excluded PERSONAL & ADV INJURY_ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE X POLICY X ECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 X OTHER: Pollution Liability Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) - ___- $ 1,000,000 $ ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED BAP2454091 AUTOS AUTOS X 9/8/2017 9/8/2018 BODILY INJURY (Per accident) --- $ - X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) Medical Expense $ 5,000 C g UMBRELLA LIAB X OCCUR 5095924311 9/8/2017 9/8/2018 EACH OCCURRENCE -- - $ 0,0 5,0000 $ 5, 000,000 D X EXCESS LIAB CLAIMS -MADE AGGREGATE _ _ DED x RETENTION $ 10,000 X HO17Exc915084IV 9/8/2017 9/8/2018 Excess Each/Agg $ 5,000,000 WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E_L EACH ACCIDENT $ 1 r 000,000 OFFICER/MEMBER EXCLUDED? NIA A (Mandatory in NH) 5095924308 _ - - _ -- - 9/8/2017 9/8/2018 E.L. DISEASE - EA EMPLOYE $ 1 000,000 1f yes, describe undar DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 C Stored Materials/Temp 5095924325 9/8/2017 9/8/2018 Limits of Insurance 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Contractors License AS-2389 If required by written contract, Certificate Holder is named as Additional Insured with respects to General, Auto & Umbrella Liability Coverage. City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 L,AINI,tLLA I IL)N 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 John Harbour/PRFE - ACORD 25 (2014/01) INS025 (201401 ) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD