HomeMy WebLinkAboutSKUMATZ ECONOMIC RESEARCH - INSURANCE CERTIFICATE (2)ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE
01-23-2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
TAGGART & ASSOCIATES, INC/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
342321 P: (866)467-8730 F: (877)905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P 0 BOX 33015
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hart ford Casualty Ins Co
SKUMATZ ECONOMIC RESEARCH ASSOCIATES, INSURERB:TW1n City Fire Ins Co
INC. INSURER C:
762 ELDORADO DR. STE 100 INSURER D:
SUPERIOR CO 80027 J INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN RI
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE
I DATE MM/DD/YY
POLICY EXPIRATION
DATE (MM/DD/VY)LIMITS
GENERAL LIABILITY
I EACH OCCURRENCE I S2 , 000, 000
A
COMMERCIAL GENERAL LIABILITY
34 SBA PA510 0
0 3/ 12 / 0 9
0 3/ 12 / 10 1 FIRE DAMAGE (Any one fire) I S 3 0 0, 000
I CLAIMS MADE U OCCUR
MED EXP (Any one person) $1 0, 000
X General Liab
I PERSONAL & ADV INJURY S2 , 0 0 0, 0007
GENERAL AGGREGATE S4 , 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG 54 , 000, 000
POLICY I PRCTO- X LOC
JE
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
S2 0 0 0 0 0 0
A
I ANY AUTO
34 SBA PA510 0
0 3 / 12 / 0 9
0 3 / 12 / 10
(Ea accident)
, ,
BODILY INJURY
$
�I
ALL OWNED AUTOS
-
SCHEDULED AUTOS
(Per person)
X
HIRED AUTOS
BODILY INJURY
$
X
NON -OWNED AUTOS
-
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY _
EACH OCCURRENCE $
OCCUR u CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
X TWO C Y STATULIMITS - O R
RER
B
EMPLOYERS' LIABILITY
34 WEC GM519 9
0 3/ 12 / 0 9
0 3/ 12 / 1 0
E.L. EACH ACCIDENT
$10 0, 000
E.L. DISEASE - EA EMPLOYEE
$10 0 , 000
E.L. DISEASE - POLICY LIMIT
s500, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
City of Fort Collins
Attn: James B. O'Neill
PO Box 580
Fort Collins, CO 80522
,HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
XPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
0 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
IOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
)BLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
EPRESENTATIVES.
AUTHO
ACUKU Z5-5 (7/97) 0 ACORD CORPORATION 1988