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HomeMy WebLinkAboutJKG CONSULTING INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DD/YYYY) Do6/15/2010 PRODUCER 970.679.7333 FAX 866.456.4265 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED JKG Consulting Inc".- , - - - - 3767 Carrington Rd. Fort Col l i ns,r C0 80525 i INSURERA: Adco'Gefdral Corporation B0008 INSURERB: Pinnacol Assurance 41190 INSURER C: INSURER D: 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. INSR LTR DD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY ECC101008074-01 06/12/2010 06/12/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1 X i OCCUR T RENTED DAMAGE PREMISES Ea occurrence $ 50,000 MED EXP (Any one person), $ 5,000 A PERSONAL & ADV INJURY $. 1,000,000 FGREGATE GENERAL AGGREGATE $ 2,000,000 " LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 ICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) - $--- - --- - - HIRED AUTOS ,.NON -OWNED AUTOS - PROPERTY DAMAGE (Per accident) - $ GARAGE LIABILITY _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY rrO^rdlE'rORiPARTtiER/E%ECUTI E❑ OFFICER/MEMBER EXCLUDED? 4126550 09/05/2009 09/05/2010 - X I Two RY L MITS ER E.L. EACH ACCIDENT $ 100,�000 E.L. DISEASE - EA EMPLOYEE $ 100,000 (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ S00,000 OTHER PROFESSIONAL LIABILITY ECC101008074-01 06/12/2010 06/12/2011 EACH CLAIM $1,000,000 A AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City, its officers, agents and employees are named as an additional insured as respects general liability. CEK I IFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 Po BOX 580 REPRESENTATIVES. Fort Collins, CO 80522 [AUTHORIZED REPRESENTATIVE oni Garcia/TOGARC ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION_ All rirthts rewervarl The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and. conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01)