Loading...
HomeMy WebLinkAbout275850 NEXTMEDIA OUT DOOR INC - INSURANCE CERTIFICATE-� ® DATE(MM/DD/YYYY) ►_- L CERTIFICATE OF LIABILITY INSURANCE � 10/06/2010 PRODUCER 1-303-773-9999 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6399 S. Fiddlers Green Cir ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Greenwood Village, CO 80111 Lori Smith 303 889-2608 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: TWIN CITY FIRE INS CO CO 29459 NextMedia Group, Inc. INSURER B:HARTFORD FIRE IN CO 19682 6312 S Fiddlers Green Circle, Suite 205 E. INSURER C: HARTFORD CAS INS CO 29424 Greenwood Village, CO 80111 INSURERD: 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 ADDT INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMfDD/YYYY) POLICY EXPIRATIONLTR LIMITS A GENERAL LIABILITY 34UEKAK8485 10/01/10 10/01/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE To RENTED PREMISES E. occurrence $ 1,000,000 CLAIMS MADE �X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC B AUTOMOBILE X LIABILITY ANY AUTO 34UF.IW8485 10/01/10 10/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ X Comp Dad: $1,000 X I Coll Ded: $1 000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESS/UMBRELLA LIABILITY 34RHUIQ6488 10/01/10 10/01/11 EACH OCCURRENCE $ 1,000,000 X1 OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION 1.$ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N FIC OFER/MEMBER EXCLUDED? Y (Mandatory in NH) 34WERE9295 10/01/10 10/01/11 X WCSLIMITAT- O R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is named as Additional Insured as respects General Liability, as required per written contract. Coverage Reference Form #HG 00 01 06 05. CERTIFICATE HOLDER CANCELLATION City of Fort Collins P O Box 580 Fort Collins, CO 80522-5550 USA 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) lorsmi © 1988-2009 ACORD CORPORATION. All rights reserved. 17805870 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) 3:4