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HomeMy WebLinkAbout128365 NATIONAL RESEARCH CENTER INC - INSURANCE CERTIFICATEHUG-27-2006(WE0) 13:43 Insurance Office (FAX)3037094409 P.001/001 A-C_0,8 CERTIFICATE OF LIABILITY INSURANCE OP ID PE DATIe(MMIDONTM 1430 1 OB 29 08 . PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NEISEN INSMIA'NCE, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE www.noiseninsurance . Coa HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 333 W. Hampden Ave. Ste. 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80110 Phona:303-78z-6776 rax:303-789-4409 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Phli.A.Iph" Zn.ur..a Ca .v -• INSURERS: Natiional Research Center, Inc. INSURER C: Boulder CO S$0301 INSURER0:••-• THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING , ANY REQU)R6MRNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE ROLICIES DESCRIBEtl HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REQUCED BY PAID CLAIMS. INBR vs,NBR DD" TYPE DP INSUKANCS PO41CYNUMNBR CY'SFP$OTIP6"�l+b1TCYEIiPIRAY PATE MMIp DAT MMIODf/e' LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADELj OCCUR EACH OCCURRENCE i PRORMM6$ WERr cr g NED EXP(Any one paman) i PERSONAL a ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT LOC PRODUOTS•OOMPIOPAGG g AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUT06 SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTO$ COMBINED SINGLE LIMIT (Ea acdaenll $ BODILY INJURY (Per Parton) g BODILY INJURY (Per.wiOn) i PROPERTY DAMAGE (Per ecaeenN $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ UTO ONLY: I:A ACC A TOONLY; AAGO g $ EXCEBB/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUOTISLE RETENTION S EACH OCCURRENCE ...W $ AGGREGATE $ _ S g g WORK6118 COMPENSATION AND EMPLOYER$' LIABILITY ANY PROPMETOR)PARTNERIEXECUTNE OFPICERIMBMDER EXOLUDEO? VYe$ AL PROe ISIO SPECIAL PROVISIONS IaioW TONY1.111MITS SR El, EACH ACCIDENT $ ELL OISEASE•EA EMPLOYEES E•L DISEASE •POLIOY LIMIT $ A OTHER Professional Liab Errors & Omissions PFISD288569 01/01/08 01/01/09 Prof/E&0 $1,000,000 ded 5,000 DESCRIPTION OP OPERATION$ I LOCATIONS I VENICLES I EXCLUSIONS AOOSO BY ENVOR6EMENT1 SPECIAL PROVIBIONS City of Fort Collins AM* Kelly DiMaxtlna PQ Box $80 Sort Collins Co SOS22 ta/LIVLiCL.W I IUIY DATE THEREOP, THE RAUINO INSUABR WALL BNOEAVOR TO MAIL 10 DAYS WRITTEN NOTICETO THE CEATIFICATB HOLDER NAAMO TD YNE Ld". OUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIOA11ON OR LIWWWOF ANY wN0 UPON THE INSURER• rM AOENTO OR Aug 27 08 02:57p PA CERTIFICATE OF INSURANCE This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois M� r, E] STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois a,...nq ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario E] STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder NATIONAL RESEARCH CENTER INC Address of policyholder 3005 30'a STREET, BOULDER, CO 80301 Location of operations SAME Description of operations RESEARCH The policies listed below have been issued to the policyholder for the policy periods shown, The insurance described in these policies is subject to all the terms, exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date I Expiration Date LIMITS OF LIABILITY (at beginning of policy period) 96 BU 3823 8 Comprehensive 11/16/07 1 11/16/00 BODILY INJURY AND -- Business Liability--------- --- -------------'---------------- PROPERTY DAMAGE This insuranceincludes: E7 Products - Completed Operations 0 Contractual Liability Each Occurrence $ 1, 000, 000 ( Personal Injury �I Advertising Injury General Aggregate $ 2, 000, 000 HIRED AUTO MEDICAL PAYMENTS 10,000 Products -Completed $ E7 Operations Aggregate EXCESS LIABILITY POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE Effective Date Expiration Date (Combined Single Limit) Umbrella Each Occurrence $ L7 Other Aggregate $ POLICY PERIOD Part I - Workers Compensation - Statutory Effective Date i Expiration Date Workers' Compensation Part 11- Employers Liability and Employers Liability Each A xadent $ Disease -Each Employee $ W Disease - Poticy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE !pate: F_xpltation Data (at beginning of policy period) 161 3304-E21-06U AUTO 05/21/2007 i1/21/2008 $1,000,000.00 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE ANn NFIT14FR-rFiRmATtvr-t v Nnu wr=re-nvKr v AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certificate Holder ADDITIONAL INSURED: CITY OF FORT COLLINS AND ITS OFFICERS, EMPLOYEES CITYOF FORT COLLINS ATTN: KELLY DIMARTINO P.O. BOX 580 FORT COLLINS, CO SD522 559.994a,$ Re .11-e8­2004 PnMedin U.SA If any of the described policies are canceled before their expiration date, State Farm will try to mail a written notice to the cadificate holder 30 days before cancellation. If however, we fail to mail such notice, no obligation or fiability will be imposed on State Farm or its agents or representatives. J 1't' Signature ofAuthonzed Representative AGENT 8/27/08 Date GORDON MOORF, Agent Name Telephone Number 303-530-0404 Gordon C Moore, Ag,a 6565Gnnpplk Drive, SviloA FlouWer, fA ioiof.3m 8..305"U4,, 901donmoor¢669j@srnlenprmcpm