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Home My WebLink AboutINSURANCE CERTIFICATE - 05-00068 - Omni Security Systems - Fire Safety Certification.i 1 • " 1 1 In[\ 11 / C-Urj7 TEL NO: 522-8049 Egan Metcalf Leavitt, Inc. PO Box 2498 Idaho Falls, ID 83403 Phone 208 524 5858 To: Company: CITY OF REXBURG Fax Number : 3593024 Phone Number: From: Eric Gessel Fax Number : 208 522 8049 Phone Number 208 52 4-5858 Time Sent: Friday, Mar 11, 2005 11: 4 6AM Pages : 3 Description : #20872 PAGE: 1/3 1 1 : d7 MOP 1 1 . PAAF; TM Nn : &�Ap7p PQGr : 'P/� CO D, CERTIFICATE 7F LIABILITY INSUP 4Nr 'we DATE /i%z o PRODUCER (208) 524-5858 4W (20 2-8049 THIS CERTIFIC)MmdIS ISSUED AS A MATTER OF INFORMATION Egan, Metcalf & Leavitt 3780 N. Yellowstone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 2498 Idaho Falls, ID 83403 INSURERS AFFORDING COVERAGE NAIL # INSURED Mark Pettichord DBA Omni Security INSURER A: Scottsdale Ins Co 1249 W 7200 S INSURER B: Progressive Rexburg, ID 83440 INSURERC: INSURER D: INSURER E: COVFRAGFS 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR ADD'L TYPE OF INSURANCE POLICY NUMBER POOLICY EFFECTIVE ATE (MM DIM POLICY EXPIRATION DATE fMMIDDPM LIMITS GENERAL LIABILITY CLS0909432 04/26/2004 04/26/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE T OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1 QQQ QQQ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY JECT LOC AUTOMOBILE LIABILITY CA04783549-2 01/01/2004 01/01/2005 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 300,000 BODILY INJURY $ ALL OWNED AUTOS X SCHEDULED AUTOS (Per person) B BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY. AGG EXCESSNMBRELLALIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS CFRTIFICOTF HOLDER r—ANCFLLOTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO {NAIL City of Rexburg 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Community Development BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 19 E Main St. OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Rexburg, ID 83440 AUTHORIZED REPRESENTATIVE 7 Eric Gessel-New EBG I /' _ ACORD 25 (2001108) FAX: 359-3024 OACORD CORPORATION 1988 - i 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 (2001/08)