HomeMy WebLinkAbout167490 CCS PRESENTATION SYSTEMS - INSURANCE CERTIFICATE,aco o® CERTIFICATE OF LIABILITY INSURANCE OP ID SM DATE (MM/DD/YYYY)
CCSPR-2 02/09/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Carver and Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7710 Ralston Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Arvada .0O3.80002
Phone: 303-420-1637 Fax:303-431-9237 INSURERS AFFORDING COVERAGE; - NAIC #
INSURED ..,...t
INSURER A: Travelers Indemnity of'America "-
_
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[--- ;CCS-- Presenta't'ion Syystems INSURER C:
! 1699 Bryant Street jiF100 ( INSURER D:
i.-,Denver:)CO •80204
INSURER E
i 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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD/YYYY
POLICY EXPIRATION
DATE MM/DD/YYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1, 000, 000
P'REMISE S(Ea occurence)
$300,000
A
X COMMERCIAL GENERAL LIABILITY
680654OB135
02/18/09
02/18/10
CLAIMS MADE 1*1 OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL &ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OPAGG
$ 2,000,000
X POLICY PRO LOC
JECT
A
AUTOMOBILE
LIABILITY
ANY AUTO
680654OB135
02/18/09
02/18/10
COMBINED SINGLE LIMIT
(Ea accident)
$ 1, 000, 000 $
4
BODILY INJURY
(Per person)
$ .. ....... _.�
ALL OWNED AUTOS
-SCHEDULED AUTOS
-
:
X
._
BODILY INJURY
(Per accident)
.. .,...,......,-.—....
$
i
.._
..�.-
HIREDAUTOS....,.
:NON -OWNED AUTOS ,�, -
... -
..
_-- - - - -- -
......... .,, .. ..
- - _..... .... __
X
..
..,;
PROPERTY DAMAGE
(Per.accident)-
-
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
OTHER THAN __ EA ACC
$ --
ANY AUTO. -
- - -
- - -
- -
$
_
-
AUTO ONLY: AGG
EXCESS I UMBRELLA LIABILITY
EACH OCCURRENCE
$$4,000,000
A
X I OCCUR ❑ CLAIMS MADE
CUP0576T235
02/18/09
02/18/10
AGGREGATE
$ $4, 000, 000
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE.? I
OFFICER/MEMBER EXCLUDED? u
jQTH-
TORY LIMITS I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
If yes, describe under
--_---
----'
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
A
Business Owners
680654OB135
02/18/09
02/18/10
Property $100,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder, its officers, agents and employees are additional
insured if required by written contract
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
FORTC- 6 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Purchasing and Risk Mgt REPRESENTATIVES.
P. 0. BOX 580 AUTHORIZED REPRESENTATIVE
ort Collins CO 80522
ACORD 25 (2009/01) Q{7Di10d-TIIIAI ell .:. hs reserved.
The ACORD name and logo are reg91 MM-rffWft ef"ACOR