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%,cRTir1CA7c OF LIA-BILITY INSURAN( f_31/3012007
P Fl.r� THIS T#F:1 'E IS I E A ;BATTER 0 1 N FMiAT10 �
INSL RE
ONSON. k k id E C r 1 y,
636 WEST � 0 'T , IT X01
MURRAY
.1 UThH 84M
ONLY AND .00NFER RIGHTS UPON THE TIFIC" E
HCILD R, `HIS CERTIFICATE E E N AMEND, FXTEND OR
ALTER T,1iE GOVTRwiE AFFORDELDTHE POLICICS BEXW.
INSURERS AFFORDING COVERAGE NAIChl
EVEMST INDEMNlr� INSURANCE CO,
PEAKALARM� - , r;�,
,' BOX 27127}�
SALT LAKE CITY, UTAH 54127
THE L -IES F 1 CE LISTED BELOW HAVE EFEN S UE T .SHE It UR D ITP C FOR H POLICY PERIL f�. INDI TED. T ;T T DING
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AWd REQUiRgMENT, T NDITION ANY CONTRACT 01R TOTER DOCUMEN7 VWTH RA PE TO WHICH, THIS IFI TE MAY BE ISSUED
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C L I G IE S,. A GATE U N ITS S H 'k'_'I N MAY Vr= 8E E F -D BY PAI 0 LAI M 5.
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r -AX 208-524-0162
CERTIFICATL HOLIDER
CITY OF REXUPU"'
ATTN. BUILDING SAFE -I DEPARTMFENT
19 EAST MAIN SL7REE3
REXBURG LQ 83440
ACORD 1i?091
0ANCELLATION
F+DU1, ' ANY 0 F THE A50V G Dom, `fRi$C-0 ffO 41 C I CS D F III C "LLEL) EWPOR I H F P—'KPI , 10N
NOTIQE TO THE E TIT"ICATE ROWER NAMED TO i �FYT, BUT # . To S ALL
I 1 NG .0AUGX ! ON. LI jLITY F ANY KING UPON THE INSURER,4 r 'S OR
JfSE:tTIVE.
rr
RD CORPORATION 1008
ACORD...
PRODUCER
INSURED
CERTIFICA'�' OF LIABILITY INSUR�~yr.F D^TE(^^M/ooNY)
MONSON INSURANCE COMPANY
635 WEST 5300 SOUTH, SUITE 201
MURRAYjr UTAH 84123
PEAK ALARM CO., INC.
P.O. BOX 27127
SALT LASE CITY, UTAH 8412-7
Serial #
.10104() THIS EITI FITE 1b SSUED
1TTE F F INFORMATION
ONLY AND COFFERS NO RIGHTS UPON THEE
HOLDER, THIS ETIF� T� FATE
SATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE P +�
POLICIES �E�Y
INSURERS AFFORDING COVERAGE
I
INSURER : EVEREST INDEi NITY INSURANCE
MINSURER : WESTERN SURETY
INSURER C-
INSURER D.0 j
INSURER E:
COVERAGES
THE POLICIES F ILJJAtE LISTED BELOW HAVE BEEN � �E� T THS �ECECABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REOUIREMENT,
TIT-T,HDIiIEUIJE1EITt TER CONDITION ANY CONTACT OR OTHER DOCUME TWITHE PE TT HI HTHJ CERTIFICATE BE l�E�
OR PERTAIN, THE INSURANCE AFFORDED B THE PLfE [DESCRIBED HEREIN 11.EJETT �LL�-EiEF.I� EXCLUSIONS 1D DJTII �F ,U
H
POLICIES, LIMITS SHOWN MAY HAVE BEEN
REDUCED ED B PAID CLAIMS.
iNSR ETA
INSIRD
TYPE OP IlU N E ��LJf �U��E� POLI' EFFECTIVEP�T���
GENERAL LI��ILIT DATE �����fi- LIMITS
EACH OCCURRENCE 170007000
X COMMERCIAL GENERAL LIABILITY 51 C3 LO 0 0 516-071 DAMAGE T
O RENTED
CLAIMS. BADE OCCUR
PREMISES (Ea ice 50,000
E l'L AGGREGATE LIMIT APPLIES PER:
�71 771 Pl.I PIS- r__1
JET
UT M4 131LE LIABILITY
ANY AUTO
ALL OWNED ALTOS
`SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
LOG
I lEu EAP (Any one person) oluuu
PERSONAL .& ALV INJUF 1 Y000-jorulo
GENERAL AGGREGATE 700x100
COMBINED SINGLE LIMIT
(Ea accidents
BODILY J N JVRY
(Per person
800-IL800-ILY INJURY
(Per accident)
PROPERTY DAM E
(Per ccid ent)
Pf2RAGE LIABILITY
ANY AUTO
- -
AUTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
AUTO ONLY:
EXCESS/UMBRELLA LIABILITY
A �1 O - 1 411 / 411 / EA H OCC URRENC E
LAIR MADE
AGGREGATE
DEDU TEELP
ETENTJ N S 10,000
WORKEKS COMPENSATIONAND � T TU-_
EMPYER ' LIABILITY TORY LIMITS E
AWPROMIMI'PRTIVEPJF-XE-C�UT!Vg-' It
EACH � � E�
Fx I
J E I EMBER EXCLUDED? I, des underSE - E
SPECIAL PROVISIONS below EMPLOYEE
EE
THE
EL DISEASE POLICY LIMIT
ESCRJPTI N OF OPERATIONS/LOCATIONS/VEHICLESELLI' I I ADDED BY ENDOR EMENT/SPECIAL PROVISIONS fro
ALARM AND SECURITY CO1E..
FAX: 1-208-524-01 D E .
3,u
CERTIFICATE HOLDER
CITY DF REXBURG
ATTN: JANELL HANSEN
1'9 E. MAIN ST.
REXBIJRG, fC7. 83440
acoRo 25 (2001/08)
C:1FM P ROICERTPROS. FPS
CANCELLATION
SHOULD ANY OF THE ABO D
510001000
57000p000
EXPIRATION
LATE THEREOF, F, THE ISSUING INSURER ER ' ILL ENDEAVOR TO MAIL, 10 DAYS WI iTTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAJLURE TO DO SO SHALL
IMPO E NO 0 KI ATI N 0 R LIABJLITY OF ,,ANY KI UPON THE INSURER, ER, ITS AGENTS OR
REPRESEWTATIVES.
AUTHORIZED REPRESENTATIVE E OF IN DEPENDENT INSURANCE AGENCY
ACORD CORPORATION 1988
ACORD-
.m
PRODUCE
INSURED
CERTIFICATE OF.LIABILITY INSURt"'K.-A CIE
MONSON INSURANCE MPAN
635 WEST 530-0 SOUTH, SUITE 211
MURRAY, UTAH 84123
PEAK ALARM CO_, INC.
P.D. BOX 27127
SALT SAKE CITY, UTAH 84127
Serial # 102229
[TATE (MMIDDIYY)
0113012Q07
THIS CERTIFICATE SSUED AS A MATER OF INFORMATION—
ONLY AND CONFERS NO RIGHTS UPON THE CERTfFiCATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTAR THE COVERAGE AFFORDED BY THEP[}LICfES BELOW,
INSURERS AFFORDING COVERAGE
INSURER EVEREST iNDEMNITY INS01RANCE CO.
IDE B.-
INSURER
:INSURER
INSURER D:
NAIL#
'EAE y
THE POLICIES OF INSURANCE LITER BELOW HE SEE -
ISSUED T THE INSURED NAMED AE E FOR THE F _ OLIO` PE 100 INDICATED. INSURANCE POLICES
WITH WHICH
T'
� TSTA
� I IANY IE�IJ���lT, TEFCONDITION E 1'CONTRACT � OTHER [� EJT� �E� T T�� CERTIFICATE A BEISSUED MA PEFfid , THE A��D�� �THE P LI E DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM E� LLI fAISMITI I F SUCHHPOLICIES, AGGREGATE LIMIT HOW MAY HAVE BEEN REDUCED E PAID LAII.
� C R TYPE OF INSURANCE �(�� P' POLICY EFFECTIVE LTi NICY NHMBER � F� LI EXPIRATION
D TE NIDDM DATE M/DQ LIMITS
1f�'IEJIAL GENERAL LIMB rDA—MAGE
�H ���� � 7000;000
jEa occurence
CLAIMS MADE � CLQ a
UESCRIPTI N OF OPERATIONS--L—OCAT[ONS/VEHJCLESIEXCLUSIONS
ADDED BY EDEMENTIPEIAL PROVISIONS
ALARM x SECURITY GUARDS..
FAXFEB 5
^^nw,
CERTIFICATE HOLDER C I Tty F R EA
CANCELLATION
-
SHOULD ANY OF THE ABOVE DE IBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
CITY OF REXBURGDATE THEREOF, THE ISSUING INSURER RE WILL ENDEAVOR T MAIL 1
� F�ITTEIII
ATTN: BUILDING SAFETY DEPARTMENT NOTI E TO THE CERTIFICATEHOLIDER NAMED TO THE LEFT, BUT FAILURETO 00,50 ,HALL
19 EAST MAIN STREET IIP,,E NO OBLIGATfON OR LIAR I }� �f Ip�I �r
LiT '�°� ANY KIND �V � L��' �I THE INSURER, IT AGENTSOR
REXBURG ID 83440 REPRESENTATIVES.
Ll HORI ED REPRESENTATIVE OF IN DEPEN DENT INSURANCE AGENCY
U
'twol
_� _ A RD CORPORATION 1988
HIED EXIT (Anyone person)
S
57000
PERSONAL & ADV INJ U Ry
170005000
E�I'L CREATE LlrwfiJT APPLIES PES.:
GENERAL AGGREGATE
2-000}000
POLICY PRO-
,SECT LOC
PRODUCTS- OMPA10P A
15000,000
AUT MOBILE LIA131LITY
N UT
COMBINED SINGLE L�T
LIMIT
(Ea accident)
ALL OWNED AUTOS
SCHEDULED, AUTOS
BODILY INJURY
(Per person
HIRED AUTO.
_
NON -OWNED AUTO.
BODILY INJURY
(Per accident)
PROPERTY DAMAGL
(Per accident)
GARAGE LIABILITY
-
,A N ` AUTO
,AUT ONLY - EA ACCIDENT
OTHER THAN E
AUTO ONLY-
EEIUIBRELL LIABILITY
A A LI 1 '�- 1
CLAIMS MASE
/1 EACH D�EHE:
- /1 /0
x,000,000
AGGRFE.GATE
0
DEDUCTIBLE
X RETENT1019 10,000
WORKER'S COMPENSATION ATION AN
EMPLOYERS' LIABILIT
T TU-TH-
ANY PRO P' IEV° F�AI TNER1Fz E UTjVE
T�F�1� LIIJT E
OFFICER/MEMBERF LUDED?
EL EACH ACCIDENT
If yes, describe under
S1 E+.iI L rR'4�' I IONS bell
EL DISEASE - EA EMPLOYEE EE
OTHER
EL DISEASE _ POLICY LIMIT
UESCRIPTI N OF OPERATIONS--L—OCAT[ONS/VEHJCLESIEXCLUSIONS
ADDED BY EDEMENTIPEIAL PROVISIONS
ALARM x SECURITY GUARDS..
FAXFEB 5
^^nw,
CERTIFICATE HOLDER C I Tty F R EA
CANCELLATION
-
SHOULD ANY OF THE ABOVE DE IBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
CITY OF REXBURGDATE THEREOF, THE ISSUING INSURER RE WILL ENDEAVOR T MAIL 1
� F�ITTEIII
ATTN: BUILDING SAFETY DEPARTMENT NOTI E TO THE CERTIFICATEHOLIDER NAMED TO THE LEFT, BUT FAILURETO 00,50 ,HALL
19 EAST MAIN STREET IIP,,E NO OBLIGATfON OR LIAR I }� �f Ip�I �r
LiT '�°� ANY KIND �V � L��' �I THE INSURER, IT AGENTSOR
REXBURG ID 83440 REPRESENTATIVES.
Ll HORI ED REPRESENTATIVE OF IN DEPEN DENT INSURANCE AGENCY
U
'twol
_� _ A RD CORPORATION 1988