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HomeMy WebLinkAbout507506 U S SECURITY ASSOCIATES INC - INSURANCE CERTIFICATE (4)o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) I 08/01/2018 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 Aon Risk Services South, Inc. Atlanta GA office CONTACT NAME: (A/CC..NNo. Ext): (866) 283-7122 (FAX No ): (800) 363-0105 E-MAIL ADDRESS: 3550 Lenox Road NE Suite 1700 INSURER(S) AFFORDING COVERAGE NAIC # Atlanta GA 30326 USA INSURED INSURER A: Lexington Insurance Company 19437 INSURERB: Lloyd's Syndicate No. 2003 AA1128003 U. S. Security Associates. Inc. 200 Mansell Court East, Sth Floor ROSWel l GA 30076 USA INSURER C: Liberty Mutual Fire Ins Co 23035 INSURERD: Liberty Insurance Corporation 42404 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570072506655 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 ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY047082/49 CLAIMS -MADE X❑ OCCUR SIR applies per policy terns 1 1 & conditions 1 EACH OCCURRENCE $2 , 000 , 000 DAMAGE TE TED PREMISES Ea occurrence $500,000 MED EXP (Any one person) $10, 000 PERSONAL &ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OPAGG Included POLICY ❑ PRO FX] JECT LOC OTHER: Professional Liability Included C AUTOMOBILE LIABILITY AS2-641-443931-OS8 08/01/2018 08/01/2019 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident B X UMBRELLA LIAB X OCCUR CSUSA1801997 08/01/2018 08/01/2019 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5 , 000 , 000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION 825, 000 D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/ PARTNER/ EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WA764D443931018 W C7 C7 641443931048 MN & WI 08/01/2018 08/O1/2018 08/01/2019 08/Ol/2019 X STATUTE OTH ER E.L. EACH ACCIDENT $1,000,000 EL. D(SEASE-EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1, 000.000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional insured in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRtBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE Purchasing Department P.O. Box 280 Ft. Collins CO 80522 USA (�/% c���GIi2.Ycti30 cic/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD u� 0 O 0 Ln O Z d i4 V w d U