HomeMy WebLinkAboutMEARS GROUP INC - INSURANCE CERTIFICATE 2023-2024 (2)�
ACORO`� CERTIFICATE OF LIABILITY INSURANCE GATE(MMIDDlYYYY�
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THIS CERTIFICATE 15 15SliED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HQLpER. THIS
CERTIFICATE DOES NdT AFFIRMATIVELY OR iJEGA7IVELY AMEND, EXTEND OR ALTER THE COVERAG� AFFORDED BY THE P�LICIES SELOW,
THIS CERTIFICATE OF IAlSURANCE DQES hOT CONSTlTUTE A CONtRACT BETWEEN THE ISSIIING INSURER(S}, AUTHORIZED FiEPRESENTATNE
QR PRODUCER, ANED THE CERTIFfCATE HOLDER.
IMPORTANT: If the certiflcate ho[der is an A��ITIONAL INSURE�, the policy(iesj must have ADDITIONAL ikSURED pro�isfons or be endorsed. If
SUBROGATIOTF IS WAIVED, subject to the terms and condNions oi the policy, certain policies may require an endorsement. A statement on this
certificate does not conier rights to the certificate hoider In lieu of such endorsement(s�.
PRO011CER �OCKTQN COMPANIES
3657 BRIARPARK �RIVE, SUITE 700 PHONH
FiOUSTON TX 77042 �.M��
866-260-3538
INSURER S AFFOR�ING COVERAGE NAIC i!
�NsuReRa: Old Repu6lic Insurance Company 24147
iNsuReo �ears Group, Inc. iNsuaeRe:
380794 A Gluanta 5ervices Company {NSURER C:
16000 College Blvd. iNsu�t�kn:
Lenexa KS 66219
INSUAEIi E :
IhlSURER F �
COVERAGES CERTIFICATE NUMBER: 'I J4626GJ REVI&ION NUMBER: XXXX�(X
THIS IS TO CERTIFY THAT THE PO�ICI�S OF INSURANCE LISTED BELOW HAVE BEEN ISSiJED TO THE INSURED NAME� ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONpITION OF ANY CONTRACT OR OTHER �OCUMENT WfTH RESPECT FO
WHICH 7H15 CERTtFICATE MAY 8E ISSUEQ OR MAY PL�FtTAIN, THE INSURANCE AFFORDED BY THE ROLICIES DESCRIBED HEREIN IS SUBJECT TO
�NSR O�L UB POLICY EFF POL[CY El(P
LTR 7YPE OF INSURANCE INSD VMV� POLIGY NUMBER MM180 MMl�D LIMRS
X COMMERCIAL GENERAL LIABILRY 313fl93 23 45 0 2Q2 05 U1 202 EqCli OCCURRENCE S 2 Oq0 �OQ
A CLAIMS-INADE� oCCUR �WZX 313095 23 05/01/202 05I01I2d2 5 � 000 000
N N MED EXP M one rson s�XC�UC�eC�
PERSONAL 8 ADV INJURY s'I OOO OOO
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAI, AGGREGA7E S Z OOO OOO
POlICY❑ �ECT ❑ �pC PRODUC7S -COMPlOP AGG S Z OOO ODQ
OTHER: s
AUTOMOBILE LUIBILIFY IVOT APPLICABLE C�O� �dI�.NEeDtS1NGLE LIMIT a��X
ANY AUTO 80DILY IlJJURY (Per peraon) S XX)()(�(X
04MNED SCHEDUL@D BORILYINJURY Peracadent 3)QQQ()()(X
AUTOS ONLY AUTOS �
HIRED NON-OWNED qOPERTY AMAGE S)()()(XXXX
AUTOS ONLY AL1T05 ONLY Per acadenl
S
ItMBREI.I.A LIAB OCCUR N07 APPLICAB�E EACH OCCURRENCE S�(�(X
EXCESSLIAB CWMS�HIADE AGGREGATE S )QQOOO(X
DED RETENTION i S
WORKERS COMPENSATlQN �(
,q ANOEMPLOYERS'LFABILITY Y1N MWC31309423 05l011202 05107l202
PJJY PROPRIETOFUPMTNEWEXECVTNE ❑1�1 H � A � E.L. EACH ACCIOEMT s 1 000 000
OFFICER/MEMBER E1(CLUOEU7 I'�
(Muidalary 3n NH� £.L. �]SEASE - EA EMPLOYEE s � OOO OOO
IF ysa, dew+ba urqer
DESCRIPTION OF OPERATIONS belew E.I. PISEASE - PDLICY LiM1T S � OOO OOQ
DESCRIPTION OF OP�RATIONS ! LOCATION3 7 VEHICLES (ACORO 101, Addl4ional Remarka Schadule, may be attached It more spaea is repu3red�
SNOUL� ANY OF THE ABpVE DESCRIBED POLICiES B£ CANCEL�E� BEFOi2E
THE EXP[RATION UATE THEREOF, NOTICE WILL BE DELNEREO IN
ACCDRDANCE WITH THE POLICY PROVISIONS.
194626fi9
City of Forl Gollins
281 N. College Avenue
Ft. Collins CO 80524
AUTFiOR¢EU REPRESENTATNE
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