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HomeMy WebLinkAbout- - (36) UNIDESI-01 SHANNON A��RO CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 5130/230/2025 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 have ADDITIONAL INSURED provisions or 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 JayHelzer NAME: Renaissance Insurance Group PHONE FAX PO Box 478 (AIC,No,Ext):(970)315-0134 (A/C,No):(970)674-8826 Windsor,CO 80550 E-MAIL ezer eam-r ADDRESS:)h l t i� 9•c o m .__ INSURER(S)AFFORDING COVERAGE NAIC# - - INSURER A:Employers Mutual Casualty Co(EMC)-- 21415 INSURED INSURER B:Plnnacol Assurance 41190 UNI Design&Associates LLC INSURER C: Associates @ UNI Design Inc -- - 2723 9th Ave INSURER D Greeley,CO 80631 INSURER E: INSURER F: 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS INS D WVD MMIDD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE 1 X OCCUR ',BBC5$16 6/1/2025 6/1/2026 DRAMEMAGISEE SO E RENcED nce S 500,000 MED EXP(Any oneperson) S 10,000 I'. PERSONAL&ADV INJURY I S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY PEST �'! �'i LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: S A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I 1,000,000 Ea accident S X ANY AUTO GE72993 6/1/2025 6/1/2026 BODILY INJURY Perperson) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-pyyNED ''. PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident !S S UMBRELLA LIAB !OCCUR ! ! EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION S S B WORKERS COMPENSATION X STATUTE Y/N 4186160 5/1/2025 5/1/2026 _ ER 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) ! -E.L.DISEASE -EA EMPLOYEE S 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Subject to policy forms,conditions,definitions and exclusions. Subject to policy Conditions,definitions,endorsements,&exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Fort Collins Building Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 281 N College Ave Fort Collins,CO 80524 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD