Loading...
HomeMy WebLinkAboutN R ADD - INSURANCE - 7/20/2010AC 'r2r � CEkTIFICATE OF LIABILITY INSURANCE DATE'(MMIDDAWY) 07/20/2010 PR oucER' (303)776-S122 FAX (303)776-S49S First Mai nStreet Insurance. 512 4fih Avenue ".0. Box 847 ngmont, CO 80SO2 THIS CERTIFICATE 13 ISSUED AS A -MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND,OR ALTER THE COVERAGE :AFFORDED :BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Lehman Communications Corporation Loveland Publishing Corp. ` dba Loveland Daily "Reporter Herald PO 'BOX 299_ Longmont$, CO 80S02 INSURERA Federal InsuranceCompany -2028 dNSURER B: Pi nnacol Assurance INSURER C: I " INSURER.D: INSURER E: COVFROr.FR - THE POLICIES OF INSURANCE LISTED BELOW HAVE;BEENiISSUED'TO'THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.' NOTWITHSTANDING ANY' REQUIREMENT, TERM OR CONDITION OF ANY 'CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATEWAY BE119SUED 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:SHOWWN MAY HAVE, 'BEEN,REDUCED, BY PAID CLAIMS: INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC E PO C EXPI N WHITS GENERAL LIABILITY 3 S81'82 S 1 08/01/2010 08/01/2011 EACH OCCURRENCE $ ,1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ , 1,000,00N CLAIMS MADE] OCCUR; MED EXP (Any one pardon) $ 10,0001 A PERSONAL 8 ADV INJURY $ 1 000 . 00Q GENERAL AGGREGATE $ 2, 000 , 000 GEN'LAGGREGATE LIMIT APPLIES, PER: PRODUCTS'- COMPIOP AGG I$ Included POLICY PRO- JECT LOC I AUTOMOBILE LIABILITY X' ;ANY AUTO 74969927 08/01/2010 08/01/2011 '', COMBINED SINGLE'LIMIT (Ea accident) il 1,000,000 'ALL OWNED AUTOS !A SCHEDULED AUTOS X HIRED:AUTOS, X , NON -OWNED AUTOS r ,_,, ;. BODILY INJURY (Per per—) ' $ BODILY INJURY_ (Per axiderd) PROP.ERTY.DAMAGE ... (Pereccident) $ _ _..._.; ..}. GARAGE LIABILITY 'AUTO ONLY EA ACCIDENT $' OTHER•THAN EA ACC . $ ANY AUTO $ AUTO ONLY: AGG EXCESSAIMBRELLA LIABILITY 79821703, 08/01/2010 ' 08/01/2011 EACH OCCURRENCE $ 10,000,000 X OCCUR a CLAIMS MADE AGGREGATE $ 10,000,000 A $ $ DEDUCTIBLE $ RETENTION: $ i WORKERS, COMPENSATION AND 40447 S S 08/01/2010 08/01/2011 X OT - B EMPLOYERS' LIABILITY ;ANYPROPRIETORIPARTNERIEXECUTNE E.L. EACH ACCIDENT $ SOO 00 E.L. DISEASE - EA EMPLOYE ' $ SOO 00 OFF.'ICERIMEMBER EXCLUDED? If yes, describe under SPECIALPROVISIONS below El. DISEASE:- POLICY LIMIT $ 'SOD 00 OTHER D SCRIPTION OF OPERA I LOCATIONS l Vkti IC ES / EXCLUSIONS AD EQ Y ENDOR$EMENT1 SPECIAL PROVISIONS ,1ty of Fort Co��Sins as Addit#onal 'Insured � required by contract per General Liability policy form. ort Collins news rack ordinance City of Fort Collins Planning, Development & Transportation Engineering Dept 281:North College Avenue PO Box S80 fort Collins, CO 8OS22 SHOULD ANY OF THE'ABOVEDESCRIBEOPOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE: ISSUING:INSURER,WILLENDEAVOR 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 Pat Deaver/PAT po'-e-2-be-`'"`� ACORD 26.(2001/08) @ACORD-CORPORATION 1986 11 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 thei certificate, holder'in lieu of'such endorsement(s). If SUBROGA� iION IS, WAIVED; subject to the terms and' conditions,of the policy, certain policies may require n,endorsement. A statement on this certificatei does not confer rights to the:certificate holder;imlieu 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 orproducer, and the certificate holder, not does, it affrmatively, or negatively amend; extend or alter the coverage,afforded, by theipolicies listed thereon. ACORD 26:12001108). A� CERTIFICATE OF LIABILITY INSURANCE 0412 jz 9) PRODUCER (303)776-5122 FAX (303)776-549S First Mai nStreet Insurance 512 4th Avenue P.O. Box 847 Longmont, CO 80502 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Lehman Communications Corporation Loveland Publishing Corp. dba Loveland Daily -Reporter Herald PO Box 299 Longmont, CO 80502 INSURERA: Federal Insurance Company/Chubb 20281 INSURERS: Pinnacol Assurance INSURER C: INSURER D: INSURERE: rnVRRAP.FS 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. INSR DD*L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 35818251 08/01/2008 08/01/2009 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,0­00,0001 CLAIMS MADE n OCCUR MED EXP (Arty one person) $ 10,0001 PERSONAL & ADV INJURY $ 1,000,00( Aff:— GENERAL AGGREGATE $ 2,000,00C GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ Include POLICY PRO- LOC JECT AUTOMOBILE LIABILITY 74969927 08/01/2008 08/01/2009 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 BODILY INJURY $ ALL OWNED AUTOS A SCHEDULED AUTOS (Par won) BODILY INJURY $ X HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ i AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY 79821703 08/01/2008 08/01/2009 EACH OCCURRENCE. $ 10,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 10 QOO OO A $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4044755 08/01/2008 08/01/2009 X STATu- I OTH- B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ SOO , OO E.L. DISEASE - EA EMPLOYE $ S00,00 OFFICERIMEMBER EXCLUDED? 1(yes, describe under E.L. DISEASE - POLICY LIMIT $ S00 00 SPECIAL PROVISIONS belay OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ort Collins 2008 news rack ordinance City of Fort Collins Planning, Development & Transportation Engineering Dept Attn: Rhonda Henson 281 North College Avenue Fort Collins, CO 8OS22-OS80 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 Pat Deaver/PAT ACORD 26 (2001108) ©ACORD CORPORATION 1988 a ll_aet L\ l 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 26 (2001/08) ACDAQ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDTYYYY) 07/31/2009 PRODUCER (303)776-5122 FAX (303)776-5495 First Mai nStreet Insurance 512 4th Avenue P.O. Box 847 Longmont, CO 80502 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Lehman Communications Corporation Loveland Publishing Corp. dba Loveland Daily -Reporter Herald PO Box 299 Longmont, CO 80502 INSURERA: Federal Insurance Company/Chubb 20281 INSURERB: Pinnacol Assurance INSURER C: INSURER D: INSURERE: CAVFRAGFS 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. INSR IYL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 08/01/2010 LIMITS GENERAL LIABILITY 35818251 08/01/2009 EACHOCCURRENCE $ 1,000,000. MMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,00 CLAIMS MADE � OCCUR MED EXP (Any one person) $A2j,000 A N PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ POLICY PRO- JECT El LOC AUTOMOBILE UABILITY 74969927 08/01/2009 08/01/2010 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Par Person) A BODILY INJURY $ X HIRED AUTOS X NON -OWNED AUTOS (Peraccidenl) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ OTHER THAN - EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY 79821703 08/01/2009 08/01/2010 EACH OCCURRENCE $ 10,000,00 X OCCUR CLAIMS MADE AGGREGATE $ 10,000,00 A $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4044755 08/01/2009 OB OI12010 X CsRYTA OTH- FR B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ S00,000 E.L. DISEASE - EA EMPLOYEE $ 500OO OFFICERIMEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT S 500OO OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Fort Collins 2008 news rack ordinance City of Fort Collins Planning, Development & Transportation Engineering Dept Attn: Rhonda Henson 281 North College Avenue Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO ANAL 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 Pat Deaver/PAT ACORD 26 (2001108) @ACORO CORPORATION 1988 i r• I IMPORTANT If the,certificate holder is,an.ADDITIONAL 4NSURED; the policy(ies)imust be endorsed..A statement orrthis certificate does not, confer rights,to,thecertificate iholder in lieu of such,endorsement(s). i !If SUBROGATION IS'WAIVED`, subject toitheiterms ;andcondltions of the policy, certain ,policlei &may require an endorsement.,A stateinent on.thisicertificate ;does, not >confer,rights'to,theicertificate holder1n Ileu of"such endorsement(s): I DISCLAIMER, TheCertificat6of�insurance,on!the.reverse side of this form doesinotconstitute aicontract betweenl the issuing insurer(s); authorizedxepresentative, or, producer,.andl,the,certificate holder ,;nor does W affirmatively or'negativeiy,amend';,extend for alter the coverage;affordediby the; policies listed,thereon. - ' ACORD18i(2001/.08) _�OBL�M CERTIFICATE 'OF LIABILITY INSURANCE 12104//z o ' PRODUCER (303)776-5122 FAX (303)776-5495 First MainStreet Insurance 512 4th Avenue. P.O. Box 847 Longmont, CO 80SO2 THIS CERTIFICATE IS'ISSUEDASA MATTER OF, INFORMATION ONLY AND CONFERS'NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND.OR ALTER THE COVERAGE' AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDINGCOVERAGE NAIC # INSURED Lehman Communications Corporation- Loveland Publishing Corp. dba 'Loveland Daily -Reporter Herald PO 'BOX 299 Longmont, CO' '80502 INSURER A: Federal Insurance Company/Chubb 20281 INSURER.B: Pinnacol' Assurance INSURERC: INSURER D; INSURER;E:. COVERAGES THE POLICIES OF INSURANCE LISTEDBELOW 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 SHOWNIMAY.HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE' -DATE IMMIDOMQ i,POLICY EXPIRATION', LIMITS 08/01/2010 GENERAL LIABILITY 35818251 08/01/2009' EACH OCCURRENCE $ 1,000 OO A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR DAMAGE TO RENTED $ 1„O00, OO 01 MED EXP (Any one person) $ '10, OO PERSONALA ADV INJURY $ 1,000.00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY ElJECT LOC PRODUCTS,- COMP/OP AGG • $ Include AUTOMOBILE UABILITY X ANY AUTO 74969927 08/01/2009 08/01/2010 COMBINED SINGLE LIMB (Ea accident) $ 1,000,,00' BODILY INJURY (Per: person) $ A ., ALL OWNED,AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE': (Per accident) $, GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 1$ ANY AUTO OTHER THAN EA Ate' AUTO ONLY: AGG. ! $ $ EXCESS/UMBRELLA LIABILITY X OCCUR FICLAIMS MADE 79821703 08/01/2009' 08/01/2010 EACH OCCURRENCE $ 10, 000', 0O AGGREGATE •$ 10,000,00 A •$ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 40447 S.S , 08/01/2009 08/01/2010 X Wo STATU- i I OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ S00, 00 B � ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?If PEunder SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE a 500, 00 E:L. DISEASE - POLICY -LIMIT $ S00,00 OTHER j i j D€SCRIPTI N OF'OPERATI NS1 LOCATIONS! gICLES I EXCLUSIONS ADD D,Y ENDORSEMENT] SPECIAL PROVISIONS. ,Ity of Fort Collins as Ac itional Insured iBf requ red by contract per General 'Liability policy form. Fort Collins news rack ordinance City of Fort Collins 'Planning, Development & Transportation Engineering Dept 281 North College Avenue PO Box S80 Fort Collins, CO 80522' r�uvnv co Jcuvuuop SHOULD ANYOF THE ABOVE DESCRIBEDROUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE'JSSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE'LEFT, BUT FAILURE TO MAIL SUCHWOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OPANY KIND UPON THE INSURER, Rs -AGENTS ORIREP•RESENTATIVES. AUTHORIZED REPRESENTATIVE Pat naavar/PAT 1� ©ACORD CORPORATION 1988 !IMPORTANT I ' , lithe certificate,holder is an ADDITIONAL INSURED, the policy(ies) must be!endorsed.-.A statement onithis.certificate`does,not,confer rights :to the certificate holder,;in,lieu of'such endorsement(s): If SUBROGATION IS WAIVED, subjecljo,the-terms and conditions.of the;policy,,certain policies,may require an endorsement. A,statement on this certificate; doe&not:confer rights to the certificate holderin ilieu of suchiendorsement(s). DISCLAIMER The Certificate,of`Insurance�on the reverse side; of this form does not constitute a contractbetween the issuing insurer(s); authorised representative or producer; and -the certificate holder, nor does. it affirmatively .ornegatively amend; extend or.:altet the coverage afforded by the; policies, listed thereon. i I i i i I I