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HomeMy WebLinkAboutMCM INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OPID S DATE(MMIDDIYYYY) MCMIN31 OS 23 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Network Insurance Services , LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7395 E Orchard Rd -Ste A400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greenwood Village CO 80111 Phone: 303-708-9999 Fax:303-708-0202 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Bituminous Insurance Co INSURER B: Pinnacol Assurance of CO INSURERC: MCM Inc. 12649 E Cale 1120 Centennial C� 0111 INSURER D: INSURER E: COVERAGES 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. L7R NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X1 COMMERCIAL GENERAL LIABILITY CLAIMS MADE LXI OCCUR CLP3240251 04/01/07 04/01/08 PREMISESEaoccurence MED EXP (Any one person) $100,000 $ 5,000 $1,000,000 TXEP4er PERSONAL&ADV INJURY Project s2,000,000 I GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG Ben. s2,000,000 11000,000 A AUTOMOBILE k—i I LIABILITY ANY AUTO CLP3240251 04/01/07 04/01/08 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS: X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ — GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTOONLY: AGG $ ANY AUTO $ A EXCESSIUMBRELLA LIABILITY X OCCUR [�ICLAIMSMADE CUP2580389 04/01/07 04/01/08 EACH OCCURRENCE $ 5,000,000 AGGREGATE $5,000,000 $ DEDUCTIBLE t X RETENTION $10 000 _ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFF ICE W MEMBER EXCLUDED'? If yes, describe under SPECIAL PROVISIONS below 4029009 07 01 / /07 07/01/08 OTH- R TOC LIMITS ER E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE - EA EMPLOYEE $ 1 , 0 0 0 , 0 0 0 E.L. DISEASE -POLICY LIMIT $ 1 000 000 OTHER A Lease/Rent Equip CLP3240251 04/01/07 04/01/08 $500 Ded $20,000 A Installation Cov CLP3240251 04/01/07 04/01/08 $500 Ded $40 000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins PO Box 580 Fort Collins CO 80522-0580 CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) ©ACORD CORPORATION IQRA