HomeMy WebLinkAbout127605 SERA INC - INSURANCE CERTIFICATEKKCJ
ACORD. CERTIFICATE OF LIABILITY INSURANCE P1DC OS-2 DANE
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAMION W
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)905-04S7 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW._
PO BOX 33015
ennr A nrmnnrTn my -loner_ INSURERS AFFORDING COVERAGE
SKUMATZ ECONOMIC RESEARCH ASSOCIATES,
INC.
762 ELDORADO DR. STE 100
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.
VIER
-AM
TYPEOFINBURANCE
POLICY NUMBER
POUCYEFFECTIVE
DAITIMAJIDOMYJ
POUCYEXAMATION
DATE MMIDDNY
UMTTS , I
GENERAL UABIUTY
EACH OCCURRENCE
52 OO,OJ OOO
A
COMMERCIAL GENERAL LIABILITY
34 SBA PA5100
03/12/09
03/12/10
FIREDAMAGLKj,.iu, ircl
s300 000
CLAIMS MADE :�IjpCCUfl
MEO E%P )Any one parson)
_
$1O OOO
PERSONAL &AOV INJURY
s2,000000
X General Liab
GENERAL AGGREGATE
S4, 000, 000 j
GEN'L AGGREGATE
UMITAPPLIES
PER:
PROOUCTS_COMPfOP AGG
54 BOO, OOO
POLICY
PRO
X
LOC
A UTOMOBILF
UABIUTY
COMOINEDSINGLE LIMIT
s2,000,000
A
ANY AUTO
34 SBA PA5100
03/12/09
03/12/10
IEa accidontl
BODILY INJURY
(Pe, pPfSORI
1
ALL OWNED AUTOS
SCHEDULED AUTOS
X
HIRED AUTOS
BODILY INJURY
s
X
NONOWNED AUTOS
IPer accitlaml
PROPERTY DAMAGE
$ j
..... _.
_.__..___
IPer accident)
II
_._.__.
...
GARAGE UASIUIY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
AUTO ONLY: AGE
S
EXCESS UABIUTY
EACH OCCURRENCE
$
AGGREGATE
s
_-D OCCUR CLAIMS MADE
S
DEOUCTIOIE
S
flETENTION 5
WORKERS COMPENSATIONAND
X I WC DRYSTATU- OTH
LIM
B
£MPLOVERS'UASIUTY
34 WEC GM5199
03/12/09
03/12/10
E.L. EACH ACCIDENT
s100000
E.L.DISEASE - EA EMPLOYEE 1
$100,000
E.L. DISEASE - POLICY LIMIT,
sS OO/OOO
OTMER
DESCRIPTION OFOPERA ITOWADCATI0A6NEMlLLES/EXCLUSIONS ADDED RYENOORSEMENUSPECIAL PROVISIONS
Those usual to the Insured's Operations. City of Fort Collins is an additional
insured per the business liability coverage form SS0008, attached to the
policy.
City of Fort Collins
Natural Resources
Attn: Susan Gordan
PO BOX 580
FORT COLLINS, CO 80522'
Arnan 9R_c I7IQ71
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE It 0 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR