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Home My WebLink About128365 NATIONAL RESEARCH CENTER INC - INSURANCE CERTIFICATE (2)HUG-27-2005(WE0) 13:43 Insurance Office (FAX)3037094409 P.001/001 A-C-08) CERTIFICATE OF LIABILITY INSURANCE OF ID PE DATamwivarrrm ' MT1430 08 27 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NEISEN TTSORANCE, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE www. naiseninSurynce , wm 14040ER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 333 W. Hampden Ave. Ste. 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80110 Phone. 303-781-6776 rax:303-789-4409 INSURERS AFFORDING COVERAGE NAIC# INSURED INEURER A; p4lK.IphL. $n•unec. C�w.Ay _ INSURER E: _ Naty�ional Research Center, Inc. INSURER C. _ ^ 30treet INSURER O: HOn J• dertCOB 0301 __ INSURER C: GOVEKAGES 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 RESPECTTO 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 MAVE BEEN REDUCED DY PAID CLAIMS IHBR LTft OD" INSRU TYPE DP INSURANCE POLICY NVMEER ODCY'SFPECTIVfi�NbTTCS'E RATRfMM/Dqffn DATA MMIDDIYY LIMITS GBNRRAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADEEl OCCUR EACHOCCURRENCE S PREMISES IEa c_xuncnw! —..... _ S MED EXP(Any one PeMen) i PERSONAL&ADVIN,IURY S GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEC4 LOC PRODUCTS -COMPIOP AGG $ AUTOMOBILE LIABILITY ANUTO ALL OYAWNEO AUTOS SCHEDULED AUT06 HIRED AUTOS NOWOWNED AUTOS COMDINED SINGLE LIMIT (Ed Ae entl S BOPILY INJURY (Perporeoo) S - DODILY INJURY (Peraedoonl)77 S PROPERTY DAMAGE (Perawdenn $ GARAGE LIABILITY ANY AUTO AUTO ONLY• EA ACCIDENT S OTHERTHAN EA ACC AUTO ONLY: AGG S $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE $ AGGREGATE $ S S b WORKERSCOMPSNSATIDNANO EMPLOYERS'LIADILITY ANY PROPRIETORJPARTNERIEXECUTIVE OFMCERIMEMDER EXOWOED? Ir Yeb, 09evjD Un3er SPECIAL PROVISIONS balOW IT LIMITS ER S I E.L. EARYL)MI $ E,L, DISEASE• EA EMPLOYEE $ E.L DISEASE -POLICY LIMIT $ A OTHER Professional Liab Errors & Omissions PHSD288569 01/01/08 01/01/09 Prof/E&O $1,000,000 Jed 5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ACCED BY ENDORSEMENT/ SPECIAL PROVISIONS City of Fort Collins ATTN: Kelly DiMartino EO Box $80 Sort Collins CO SOS22 DATETFIEREOP, THE MUIR* INWRIIVALL ONDEAVORTO MAIL 10 DAYSWRITTEN N0710ETO THE CERTPICATE HOLDER NAMED TO "ISLE". BUT PAIL0E70 00 E0 SHALL' WHOM NO OSLIOATION OR UKRIUV OP ANY KIND UPON THE INSURSK ITS AGENTS OR REPRSSENTATIVS& e„rununeH qunca urATnin_� Aug 27 08 02:57p M CERTIFICATE OF INSURANCE This certifies that STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois p STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois A STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario [] 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 Location of operations Description of operations 3005 30' STREET, BOULDER, CO 80301 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 rerturpd by nny nald rm:mc POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date I Expiration Date LIMITS OF LIABILITY (at beginning of policy period) 96 BU 3823 6 Comprehensive 1 11/16/07 1 11/16/08 BODILY INJURY AND - - ----_ -------------- ----__--_--'-------- Business Liability__. ------ ------__ PROPERTY DAMAGE This insurance includes: ❑ Products - Completed Operations ® Contractual Liability Each Occurrence $ 1,000,000 Personal Injury Advertising injury General Aggregate $ 2, 000, 000 HIRED AUTO MEDICAL PAYMENTS 10,000 Products -Completed $ ❑ Operations Aggregate EXCESS LIABILITY POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE Effective Date Expiration Date (Combined Single Limit) 0 Umbrella Each Occurrence $ I] Other Aggregate $ POLICY PERIOD Part I - Workers Compensation - Statutory Effective Date ; ExpWtion Date Workers' Compensation Part II - Employers Liability and Employers Liability Each Accident $ Disease - Each Employee $ Disease - Policy Limit $ POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective to: Expiration Data LIMITS OF LIABILITY (at beginning of policy period) 161 3304-E21-06U AUTO 05{21/2007 1-2/21/2008 $1,000,000.00 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE awn hiFiTRFa APPIRrwarnr=1 v uno MCC A-nvcr 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 80522 5%904a.5 Rev,11-M2004 Priatedin 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 certificate holder 30 days before cancellation. If however, we fail to mail such notice, no obligation or frabdity will be imposed on State Farm or its agents or representatives. C-R- Signature ofAuthonzed Representative AGENT _ 8/27/08 Title _ _ Data GORDON MOORS Agent Name -^ Telephone Number 303-530-0404 Gordon C Moore, Agent 6Sro Cnnp¢tk D&,. SuiteA amm Ce mY�r AR e�,amsaooloa pordcmm�web69i@ststelaracom