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HomeMy WebLinkAboutCERTIFICATE OF LIABILITY - 08-00029 - Omni Security Systems - Fire Safety Certification■ ■ / ACORDM CERTIFICATE OF LIABILITY INSURAP- :E as/29/z 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1 RoR'cER -(208)524-5858 FAX (cub) 522-8049 nEgan, Metcalf & Leavitt 3780 N. Yellowstone ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DD'L N PO Box 2498 Idaho Falls, ID 83403 INSURERS AFFORDING COVERAGE NAICN INSURED Omni Security Systems, Inc. INSURERA. Scottsdale Ins Co 41297 1249 W 7200 S INSURER R: Safeco 024740 Rexburg, ID 83440 INSURER C: Idaho State Ins. Fund 36129 04/26/2008 INSURER D. EACH OCCURRENCE $ 1,000,000 INSURER E: ener-c THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N07VVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD'L N rypE OFINSURANCE POLICY NUMBER PDATE fMFFECTIVE DATE MMID POLICY EXPIRATION E M,IR LIMITS GENERAL UABILTIY CLS12SS922 04/26/2008 04/26/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100, 000 CLAIMS MADE FX -1 OCCUR MED EXP (Any one person) $ 5,00C PERSONAL & ADV INJURY $ 1,000,00( A GENERAL AGGREGATE $ 2,000,OOD GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ 1,000,00C POLICY 7 JECo-T LOC AUTOMOBILE LIABILITY 01 -CH -418001-2 03/11/2008 03/11/2009 COMBINED SINGLE LIMIT X MY AUTO (Ea accident) $ 500,00 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) B HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) E GARAGGARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY. AGG $ E%CESSRIMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ 576981 04/01/2008 04/01/2009 X I wRYTATu- oD` WORKERS COMPENSATION AND EL.EACH ACCIDENT $ 100,00 EMPLOYERS'LIABILRY C MY PROPRIETOR/PARTNER,EXECUTIVE EL. DISEASE - EA EMPLOYEE $ 100,00 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below I I E.L. DISEASE -POLICY LIMIT 1 $ 500,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS E: Insureds Operations City of Rexburg 12 N. Center Rexburg, ID 83440 Gr ORn 75 T9nnimm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE- �Lh. laime Rradlev/]R `/YJ"-_"'rL jam, R.pLLOuy ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108)