HomeMy WebLinkAboutR3 CONSULTING GROUP - INSURANCE CERTIFICATE (5)s
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
01/12/2010
PRODUCER, (916)488-4702 FAX (916)488-2336
DBA: McCI atchy Insurance Agency
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
License #0724020
ALTER THE COVERAGE AFFORDED=BY1HE POLICIES BELOW.
2410 Fair Oaks Blvd, Suite 140
Sacramento,;; CA: 95825
INSURERS AFFORDING COVERAGE
NAIC #
INSURED R3 Consulting Group, Inc.
wsURERA: Philadelphia Insurance Co.
0128
INSURER B:
4811 .Chippendale Dr. , #708
INSURERC: -
Sacramento, CA 95841-2554
INSURER D:
INSURER E:
U U V t KAIa CJ
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.
INSR
DD'
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
DAMAGE TO RENTED
$
COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
$ r
CLAIMS MADE ❑ OCCUR
PERSONAL & ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGG
$
POLICY PROJECT LOC
AUTOMOBILE
LIABILITY
-
COMBINED SINGLE LIMIT
(Ea accident)
$
ANY AUTO
BODILY INJURY
ALL OWNED AUTOS
' -
.
..
_ .. -
.(Per person)
SCHEDULED AUTOS
BODILY INJURY _
(Per accident)
$ - .-
HIREDAUTOS
- ----
._ -._. _.. _. _. _ -_ -
" -
-",
•, _
• .
_
-
NON= OWNED -AUTOS
PROPERTY DAMAGE
(Per accident)
$
✓
...
GARAGE LIABILITY ' . - -
-
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUTO ONLY: AGG
$
ANY AUTO
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
DEDUCTIBLE
RETENTION $
'
WC STATU- OTH-
WORKERS COMPENSATION ANDCRY
E.L. EACH ACCIDENT
$
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
If yes, describe under
SPECIAL PROVISIONS below
A
oTH
ProessionalLiability
PHSD467740
12/15/2009
12/15/2010
$2,000,000 Annual Aggregate
$2,000,000 Each Claim
$5,000 Deductible Y
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Consulting Services - Trash Service Study
Ten days notice of cancellation applies for non-payment of premium.
City of Fort Collins
Attn: Ann Turnquist
215 North Mason St. 2nd Flr.
Fort Collins, CO 80524
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 TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
AGORD 25 (2UU9/Utf)
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