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Home My WebLink About280698 NORTHSTAR DESIGN - INSURANCE CERTIFICATE (4)AC<:>R O® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYYI 03-29-201011 THIS CERTIFICATEIS 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 policylies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statememon this certificate does not confer tights to the certificate holder in lieu of such endorsement(s). PRODUCER DANIEL BOONE AGENCY LLC/PHS co NAME: (PHONNo Eat (866)467-6730 IaC,Nel: (877) 538-6526 531273 P:(866)467-8730 F:(877)538-8526 PO BOX 29611 ADDRESS: _ CHARLOTTE NC 28229 CUSTOMER ID tl: INSURERISI AFFORDING COVERAGE NAIC tl INSURED �(�` U INSURERA: Hartford Casualty Ins CO INSURER B NORTHSTAR DESIGN 700 AUTOMATION DR UNIT I INSURER C WINDSOR CO 80550 INSURER D: INSURER E: INSURER F rOVFRAGFS 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. WSIR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER IMMIODIVYYYI (MMIODIYYYV) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X General Liab 84 SBA PA6868 04/13/2011 04/13/2012 EACH OCCURRENCE 9 1,000,000 PREMISES IEe o..n.ncel 9 300,000 MED EXP (Any one perscnl S 10, 000 PERSONAL & ADV INJURY 91,000,000 GENERAL AGGREGATE 9 2,000,000 GENT AGGREGATE I LIMIT APPLIES PER: PRO - POLICY u JECT �I LOC PRODUCTS-COMP/OPAGG 5 2,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 84 SBA PA6868 04/13/2011 04/13/2012 COMBINED SINGLE LIMIT (Ea e,cidentl ° 1, 000, 000 BODILY INJURY (Per person) 9 BODILY INJURY IPer eccidentl 4 PROPERTY DAMAGE (Per aceidonU S X X S S UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE 9 AGGREGATE 9 DEDUCTIBLE RETENTION 9 S 9 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE— OFFICER/MEMBER EXCLUDED] (Mandatory In NH) If yea, describe under DESCRIPTION OF OPERATIONS below NIA WC STATIb OTH TORY LIMITS Efl E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE 9 E.L. DISEASE POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remark. SchaM.. It more epaee la reWlred) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Attn • Purchasing Division DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE PRESENTATIVE^/ PO Box 580 Fort Collins CO 80522�- e 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD AC<:>R O® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYYI 03-29-201011 THIS CERTIFICATEIS 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 policylies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statememon this certificate does not confer tights to the certificate holder in lieu of such endorsement(s). PRODUCER DANIEL BOONE AGENCY LLC/PHS co NAME: (PHONNo Eat (866)467-6730 IaC,Nel: (877) 538-6526 531273 P:(866)467-8730 F:(877)538-8526 PO BOX 29611 ADDRESS: _ CHARLOTTE NC 28229 CUSTOMER ID tl: INSURERISI AFFORDING COVERAGE NAIC tl INSURED �(�` U INSURERA: Hartford Casualty Ins CO INSURER B NORTHSTAR DESIGN 700 AUTOMATION DR UNIT I INSURER C WINDSOR CO 80550 INSURER D: INSURER E: INSURER F rOVFRAGFS 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. WSIR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER IMMIODIVYYYI (MMIODIYYYV) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X General Liab 84 SBA PA6868 04/13/2011 04/13/2012 EACH OCCURRENCE 9 1,000,000 PREMISES IEe o..n.ncel 9 300,000 MED EXP (Any one perscnl S 10, 000 PERSONAL & ADV INJURY 91,000,000 GENERAL AGGREGATE 9 2,000,000 GENT AGGREGATE I LIMIT APPLIES PER: PRO - POLICY u JECT �I LOC PRODUCTS-COMP/OPAGG 5 2,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 84 SBA PA6868 04/13/2011 04/13/2012 COMBINED SINGLE LIMIT (Ea e,cidentl ° 1, 000, 000 BODILY INJURY (Per person) 9 BODILY INJURY IPer eccidentl 4 PROPERTY DAMAGE (Per aceidonU S X X S S UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE 9 AGGREGATE 9 DEDUCTIBLE RETENTION 9 S 9 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE— OFFICER/MEMBER EXCLUDED] (Mandatory In NH) If yea, describe under DESCRIPTION OF OPERATIONS below NIA WC STATIb OTH TORY LIMITS Efl E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE 9 E.L. DISEASE POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remark. SchaM.. It more epaee la reWlred) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Attn • Purchasing Division DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE PRESENTATIVE^/ PO Box 580 Fort Collins CO 80522�- e 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD