HomeMy WebLinkAboutCERTIFICATE OF LIABILITY - 08-00101 - Peak Alarm - Fire Safety CertificationACORDCERTIFICATa,_ OF
LIABILITY
INSUW ;E
DATE (M )
2008
PRODUCER Serial # 101040
THIS CERTIFICATE IS oSUED AS A MATTER OF INFORMATION
MONSON INSURANCE COMPANY
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
635 WEST 5300 SOUTH, SUITE 201
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MURRAY, UTAH 84123
P (801) 269.1999 F (801) 2691004
INSURERS AFFORDING COVERAGE NAIC#
INSURED
INSURERA: EVEREST INDEMNITY INSURANCE CO.
-PEAK ALARM CO., INC.
INSURERS: WESTERN SURETY CO.
P.O. BOX 27127NSURER
C:
SALT LAKE CITY, UTAH 84127
NSURER D:
INSURER E:
COVERAGES
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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
NBNL
TYPE OF INSURANCE
POLICY NUMBER
P0L7E MMIDOf
POLICY
MM/DDf/�N
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
A
X COMMERCIALGENERALLIABiLIT'i
51GL000516-0081
4/1/08
4/1/09
DAMAGE TO RENTED
^ $ 50,000
CLAIMS MADE 7 OCCUR
MEDEXP (Anyone person)$ 5,000
PERSONAL S ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $ 1,000,000
PRO -LOC
POLICY JECT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident) $
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person) $
BODILY INJURY
$
HIREDAUTOS
-
NON-OWNEDAUTOS
(Per accid77ennt)
PP Orx den DAMAGE E
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
OTHERTHAN EA ACC $
ANY AUTO
AUTO ONLY: AGG E
EXCESS/UMBRELLALIABILITY
51CC00026-081
4/1/0$
4/1/09
EACH OCCURRENCE $ 5,000,000
AGGREGATE $ 5,000,000
A
X OCCUR 7 CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10,000
$
WORKER'S COMPENSATION AND
T
TRV LIMITS ER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT 5
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
EL DISEASE -EA EMPLOYEE It
EL DISEASE -POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS r)
ALARM AND SECURITY COMPANY oX /NI Jl
R
FAX: 1-208-524-0162
1
I I I I I�
l
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF REXBURG
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
ATTN: JANELL HANSEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
19 E. MAIN ST.
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REXBURG, ID. 83440
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE OF INDEPENDENT INSURANCE AGENCY
AGORD 25 (2001/08) 0 ACORD CORPORATION 1988
CAFMPRO\C ERTPROS. FP5
8ENT BY: MONSON IN8; 801269i004; MAR -28-07 10:40AM; PAGE 111
AICLO-RDI. CERTIFICA"
'OF LIABILITY INSURAN '_DAT D
a3/zsr
/281zc ,77
PRODUCER
MONSON INSURANCE COMPANY
$75 WEST 5300 80117H, SUITE 201
MURRAY, UTAH 54123
Serial # 101040
THIS CERTIFICA E IS ISSUED AS A MATTER OF INFORMATI, IN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC TE
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND ZIR
ALTER THE COVERAGE AFFORDED BY THE PO_ICIES BEU•W.
-
INSURERS AFFORDINOCOVERAGE "Co
INSURED
INGUREA A: EVEREST INDEMNITY INSURANCE CO.
PEAK ALARM CO., INC.
INSURER R: WESTERN SURETY CO.
FIZ BOX 27127
InOUPER G:
SALT LAKE CITY, UTAH 84127
NSURER 0
_
INSURER E:
COVERAGES
"
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD iNDICATED. NOTWITHSTANDP 3
ANY REDUREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 0'
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO AU -THE TERMS, EXCLUSIONS AND CONDITIONS OF SU(::
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED DY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
WOO
P
LIMITS �"
GENERALLIABNITY
EACH OCCURRFNCF S 1,00.,00
A
X COMMERCIALGENEPALLIABILITY
CLAIMSMADE X❑OCCUR
51GL000516-071
411/07
01108
us 51.000
MEDEXP (Any one non 5 ! 00
PERSORALAADVUMURV S 0
GENERALACORO-CATE S 2,001,000
OENT. A00REOATE LIMIT APPLIES
POLICY F PRO•
PER:
LOC
PRODUCTS• COMPXTPARO S 11001,000
AUTOMONLE
LIABILITY
ANrnuro
WMBINEOSIrv(iLE LIMN' S
ILa eoDeenp
ALL OWNEDAUTO6
SGHEWLEDAUTDa
BODILY INJURY 6
(PSH Dersen)
HIREDAUTOS
NONI AUTOS
II INJURY
ft, ww") :
PAOLPNR,Y�AMAOE
f
1AUTO
GE LIABILITY
ONLY 6
Y FA ACCIDENT
OTHERTHAN PA ACC S
AUTOONLY; AGO S
PQARA
ANYAUTO
E 866NMBflBI NLITY
X o6"(1 �OIAW&MADE
IICC00020.071
4/1/07
4/1108
EACH OCCURRENCE S 5,001',000
AGGREGATE 6 500(:.000
6
I'VIMAL
nEbucrleLe
X RETENTION f 10,000
a
f
WORHERNNLIAENOATONAND
- � �-
EMPLOYER3 LIA80.nY
EL EACH ACCIDENT S
ANY PRoP,q IETooR�/PA. TNERIEXECUTIVE
OFFICE WMEMBFNt LUOEOY
,SIO PROVISIONS DeIow,
EL DISEASE -E0. EMPLOYEL S
EL 150EASE POLICY LIMIT I S
OTHER
OEBCRIFTION OF OPEMT MMLJOOATIONSWHICLIVEXCLUSION6 ADDED BY FNDORSEMENTISPECIAL PROVim NB
ALARM AND SECURITY COMPANY
FAX: 1"208-524-0162
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE rANCE, I — BEFORE THE W11 \TION
CITY OF REXBURC—
ATTN: JANELL HANSEN
DATE THEREOF, THE ISBUINO INSURER WILL ENDEAVOR TO MAR„ !Q„_DAY5 YIRITEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. WT FABURE TO GO W! 1ALL
19 E. MAIN ASST.
IMPOSE NO OBUGATON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS, R
REXBURG, ID. 83440
REPREBENTATNES.
AUTHORIZED REPRESENTATIVE OF INDEINEUM1ANCE AOENOY
ACORD 25 (20011080 0 ACORD CORPORATION 1 188
C?FMPRO\CERTPRO8 FP5