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Insurance - Interface Security Systems Holdings-2013-09-26
INTESEC -02 DONNAS CERTIFICATE OF LIABILITY INSURANCE F DATED/YVYY) 9/226/2612013 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 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 CONTACT NAME: Charles L. Crane Agency Co. PHONE 314 241 8700 FAX 100 N Broadway, Ste 900 Saint Louis, MO 63102 OCT 0 4 2013 COSTA MESA SAN! WO A/c No Eat :1 ) A/C No): W I 444-4970 ADDRIESS, INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Everest Indemnity Company 10851 INSURED Interface Security Systems Holdings Inc., The Greater Alarm Co., Inc. dba Interface Systems 3750 Schaufele Ave., #125/200 Long Beach, CA 90808 INSURER B: First Liberty Insurance Corporation 33588 INSURERC : Everest National Ins Co 10120 INSURER D: X INSURER E: 51GL002100 - -- 'AS6Z91460038013 INSURER F: 10/112013 COVERAGES CERTIFICATE NUMBER: 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 INSR MD POLICY NUMBER POLICY EFF MMIDO POLICYEXP MM /DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F11-1 OCCUR X E&O X 51GL002100 - -- 'AS6Z91460038013 10/112013 1011/2014 EACH OCCURRENCE $ 1,000,000 PREMISES Ea ccc,amnce $ 50,000 IVIED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP /OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OS SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON-OWNED AUTOS 10/1 @013 10M12014 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident % $ - PROPERTY DAMAGE PER ACCIDENT $ A X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMSWADE 51CC000674 10/1/2013 101112014 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DIED X RETENTION $ 10,000 $ .0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORRARTNER /EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? 1:1 (Mandatory in NH) H yes, desaibe under DESCRIPTION OF OPERATIONS calm N /A 5300000008 10/1/2013 1011/2014 TH X TORY LA ITS OER E.L. EACH ACCIDENT IS 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks See attached Schedule, If more apace Is required) CERTIFICATE HOLDER CANCELLATION Costa Mesa Sanitary District I I 628 W. 19th St. I ` I l Costa Mesa, CA 92627 -2716 ` 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 REPRESENTATIVE 1�II >elfrtf���d ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Taterface Security Systems LLC Policy COMMERCIAL GENERAL LIABILITY r51GL00210C- THIS ENDORSEMENT CHANGES THE POLICY. PLEASE TREAD IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART. sCHEDULE Name of Paraori or organization- , r.o� +a �Jlesa Sani�ar,� district and its officers, agents, and employees are _ . . ata� . additional insureds on general liability as required by written contract. Re: work per;o med by named insured nc ens y appaarS SbOve, informatiol i required to complete this endorsement wlil be shown In ih2 DeelaratFOns as applicable to this endorsement.) WHO IS AN INSURED (5aotion II) is amended to inolude as an insured the person or _ or anlZ4l�✓ .QnhG!�111�^. but nYfl,l tniit•h Y�.Spq": i= I:vtllTy:iISFI lin 'J4: _ II • li 1- , �• n Jn,7YYn �I lnC 5 'yGUiWWI , i::i Vial iilSUred by 0, IOr yOU, CG 20 10 11 85 Copyright Insurance Services ofnoe, Inc., 1984