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
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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
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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