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COOVER CLARK ASSOCIATES - INSURANCE CERTIFICATE
Client#: 16674 3000OVASS ACORD,u CERTIFICATE OF LIABILITY INSURANCE DATE (MMID 09/19107D/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Compass Insurance Agency, Inc. Olson &Olson Division ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 750 W. Hampden Avenue, Ste 440 Englewood, CO 80110 INSURERS AFFORDING COVERAGE NAIC It INSURED Conover -Clark & Associates, Inc. 1936 Market St. Denver, CO 80202 INSURER A: U.S. Specialty Ins CO 29599 INSURER B: INSURER C: INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED 13ELOW 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 LTR ADD-1 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDl1'1' POLICY EXPIRATION DATE MM/DD/VV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMIS S aoc u .n e $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENLAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ POLICY PRO- ECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS - BODILY INJURY (Per accident $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND *Except 10 Days WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE for Non -Payment E.L. EACH ACCIDENT $ - - " EL DISEASE - EA EMPLOYEE$ OFFICER/MEMBER EXCLUDED' of Premium If yes, describe under SPECIAL PROVISIONS bold. E.L. DISEASE -POLICY LIMIT $ A OTHER Professional US061135002 08/15/06 10/20/07 $1,000,000 Per Claim ' $1,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS "Per Claim" and "Annual Aggegate" limits apply to all projects. Payment of claims, defense costs and claim expenses reduce the limits, City of Ft. Collins P.O. Box 580 Fort Collins, CO 80522 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #M311147 30DLS © ACORD CORPORATION 1988 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 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 25-S (2001/08) 2 Of 2 #M311147