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HomeMy WebLinkAboutStructured Communications SystemsACORUW CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDmm�l 9/26/2024 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 (OR) Heffernan Insurance Brokers 5100 S Macadam Ave., Suite 440 Portland OR 97239 CONTACT PHONE FAX : 503-226-1320 Arc N.: 503-226-1478 ADDRESS, INSURERS AFFORDING COVERAGE NAICIf INSURER A; Massachusetts Bay Insurance Company 22306 License#: 0564249 INSURED STRUCOM-01 Structured Communication Systems, Inc. 9200 SE Sunnybrook Blvd., Ste 300 INSURER B : Allmerica Financial Benefit Insurance Company 41840 INSURERC: Hanover Insurance Company 22292 INSURER : The Hanover Insurance Company 22292 Clackamas OR 97015 INSURER E : Philadelphia Indemni Insurance Company 18058 INSURER F : Hiscox Insurance Company Inc. 10200 COVERAGES CERTIFICATE NUMBER: 1165416742 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 LTR TYPE OF INSURANCE A POLICY NUMBER POLICY M 0 EFF MMMD E'er LIMITS A X COMMERCIAL GENERAL LIABILITY Y ZD2J26951301 1/1/2024 1/112025 EACH OCCURRENCE $ 1.000.000 CLAIMS -MADE: OCCUR PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10.000 WA STOP GAP X 31MMlslMMlsiMM PERSONAL BADV INJURY $ 1.000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 0 PET LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: I B AUTOMOBILE LIABILITY AW3J26960r101 1l112024 1;i;2025 COMBINEDSINGLELIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IX BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY S C X UMBRELLA LIAR X OCCUR UH2J26951701 1/1/2024 111/2025 EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 EXCESS LIAO CLAIMS -MADE: DED I X I RETENTIONS It Prod/Comp0 s AGO $ 8,000,000 8 8 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE W22J21659102 WM2J26954001 1/1/2024 1/1/2024 1/1/2025 1/1/2025 X PER OTH- STATUTE ER E.L. EACH ACCIDENT S I,000,000 OFFICERIMEMBEREXCLUDED9El N 1 A E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mandatory in NH) If s, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000.000 0 E F Tech EBO and Cyyber Excess Tech E80 $5M XS 55M Employee Dishonesty LH2J26958201 PHSD1845631 UC2469029724 1/112024 1/1/2024 1/1/2024 111/2025 111/2025 1/112025 Aggregate Limit Aggregate Umd Limit $5,000 000 $5,000 000 $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Excluded Individual, Worker's Compensation Policy #W22J216591 01 : Ronald Fowler Re: As Per Contract or Agreement on File with Insured. City of Caldwell is included as an additional insured on General Liability policy per the attached endorsement, if required. City of Caldwell P.O. BOX 1179 Caldwell, ID 83606 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 REPRESENTATWE 1�z- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD