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HomeMy WebLinkAboutCRW INC - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE 4/15/2011 PRODUCER (303) 688-9597 FAX: (303) 688-8858 Cc West Insurance GroupONLY P.O. Box 910 Castle Rock CO 80104 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 - CRW, Inc PO Box 631067 Highlands Ranch CO 80163 INSURER A: CNA INSURER BPinnacol Assurance 41190 INSURER C: INSURER D' INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN 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. LIMITSAGGREGATE W INSR ADD'L TYPE OF INSURANCE POUCYNUMBER POLICY D TEE MMIDD/YY POLICY N DATE MIDD/YY UNITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE FX7 OCCUR 4026927093 3/26/2011 3/26/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea ocpurrerre $ 100,000 MED EXP(Any mePerson) S 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE X I POLICY LIMIT APPLIES PER JECOT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNEDAUTOS 4026927109 3/26/2011 _ 3/26/2012 COMBINED SINGLE LIMIT (Ea acabenl) $ 1, 000,000 X BODILY INJURY (Per person) S X BODILY INJURY (Per arudent) $ X PROPERTY DAMAGE (Per amident) $ GARAGE LIABILITY ANVAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ADD AUTO ONLY: AGG $ S A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE RETENTION 4026927076 3/26/2011 3/26/2012 EACH OCCURRENCE S 2,000,000 AGGREGATE $ S $ $ WORKERS COMPENSATION AND EMPLOYERS' LABILITY ANY PROPRIETOR/PARTNER/EXECUTWE OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below 4083602 8/1/2010 8/1/2011 X WCyT�T 7- OTH- E.L. EACH ACCIDENT $ 1,000,000 EL.DISEASE - EA EMPLOYE $ 1,DDD, DDD E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS City of Fort Collins, its officers, agents and employees are named as additional insured as pertains to General Liability. City of Fort Collins City Director of Purchasing and Risk Mana 215 N Mason Street 2nd Floor/PO Box 580 Fort Collins, CO 80522 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE -ade Caskey/SLE ACORD 25 (2001/08) IMCMS mono, no_ © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE 4/15/2011 PRODUCER (303) 688-9597 FAX: (303) 688-8858 Cc West Insurance GroupONLY P.O. Box 910 Castle Rock CO 80104 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 - CRW, Inc PO Box 631067 Highlands Ranch CO 80163 INSURER A: CNA INSURER BPinnacol Assurance 41190 INSURER C: INSURER D' INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN 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. LIMITSAGGREGATE W INSR ADD'L TYPE OF INSURANCE POUCYNUMBER POLICY D TEE MMIDD/YY POLICY N DATE MIDD/YY UNITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE FX7 OCCUR 4026927093 3/26/2011 3/26/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea ocpurrerre $ 100,000 MED EXP(Any mePerson) S 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE X I POLICY LIMIT APPLIES PER JECOT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNEDAUTOS 4026927109 3/26/2011 _ 3/26/2012 COMBINED SINGLE LIMIT (Ea acabenl) $ 1, 000,000 X BODILY INJURY (Per person) S X BODILY INJURY (Per arudent) $ X PROPERTY DAMAGE (Per amident) $ GARAGE LIABILITY ANVAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ADD AUTO ONLY: AGG $ S A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE RETENTION 4026927076 3/26/2011 3/26/2012 EACH OCCURRENCE S 2,000,000 AGGREGATE $ S $ $ WORKERS COMPENSATION AND EMPLOYERS' LABILITY ANY PROPRIETOR/PARTNER/EXECUTWE OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below 4083602 8/1/2010 8/1/2011 X WCyT�T 7- OTH- E.L. EACH ACCIDENT $ 1,000,000 EL.DISEASE - EA EMPLOYE $ 1,DDD, DDD E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS City of Fort Collins, its officers, agents and employees are named as additional insured as pertains to General Liability. City of Fort Collins City Director of Purchasing and Risk Mana 215 N Mason Street 2nd Floor/PO Box 580 Fort Collins, CO 80522 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE -ade Caskey/SLE ACORD 25 (2001/08) IMCMS mono, no_ © 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. ACURD 25 (2001/08) INS025 toioa) o8 Page 2 of 2 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. ACURD 25 (2001/08) INS025 toioa) o8 Page 2 of 2