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Home My WebLink AboutTHE HARBOR GROUP INC - INSURANCE CERTIFICATEA� oe CERTIFICATE OF LIABILITY INSURANCE °08/30/2o'11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. H 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 endorsements . PRODUCER 1-800-247-7756 Hoitms Murphy L Assoc - NDN CONTACT NAME: PHONE FM UVC.NC N.: E-MAIL ADDRESS: PO Box 9207 INSURERS AFFORDING COVERAGE HAD If Dee Noines, IA 50306-9207 INSURER A: EMPloyera Nutual Casualty Co. INSURED INSURER B: St. Paul Fire i Marine The Harbor Group, Inc. (See Attached Named Insured List) INSURER C: Great American Insurance Company of New. INSURER D: Attn: Scott Peterson INSURER E: P.O. Box 260 Sioux Center, IA 51250-0260 INSURER F : CnVERAnP3 OERTIEICATE MIIMRER• 22898748 REVISION NIIMRER- THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL BUSH POLICY NUMBER MMNDY EFF POLILIpY EXP LIMITS A GENERAL LIABILITY 31D1894912 09/01/1 09/01/12 EACH OCCURRENCE E 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r3c] OCCUR PREMISES soccurrence) E 500, 000 MED EXP(An, one Perron) S 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE E 2,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG E2,000,000 $ POLICY M JECTPRO- LOC A AUTOMOBILE LIABILITY SZIU9491Z COMBINED SINGLE LIMIT Ee acdtle m 1,000,000 BODILY INJURY (Per person) E X ANY AUTO BODILY INJURY (Per accident) E ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ X X NON WNED HIRED AUTOS AUTOS E B X UMBRELLA UAB OCCUR 9K05501910 09/01/1 09/01/12 EACH OCCURRENCE $ 15,000,000 N AGGREGATE $ 15,000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION E 10, 000 $ 1 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN 3Y1894912 09/01/1 09/01/12 X WCSTATU- OTH- CRY LIMITS ER EL. EACHACCIDENT E 500,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA E.L. DISEASE - EA EMPLOYE S 500,000 Ifr tleecdbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 500, 000 C Installation Floater IMPS924881 09/01/1 09/01/12 $2,500 Deductible 2,500,000 A Rented/Leased Equipment 3C1894912 09/01/1 09/01/12 $2,500 Deductible 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AKoch ACORD 101, Additlonel Romero Schedule, If more space is requlned) Cancellation Clause: 30 Days Notice Except for Non Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 06A Ace ID 1988-2010 ACORD CORPORATION. All rights reserve ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD metumpedem 22898748 3:4 Holmes Murphy 6 Assoc - WON PO Boa 9207 E B IX B PO Des Moines, IA 50306-9207 seeMMM USA sses� City of Sort Collins PO Boa 580 Sort Collins, CO 80522-0580 USA 14:173:360 We hope you find this document satisfactory. If you have any questions regarding the content of this certificate, please contact Holmes, Murphy 6 Associates or the Insured, both are listed on the certificate of insurance. NOTICE: This communication is not encrypted and may contain privileged or other confidential information. If you are not the intended recipient or believe that you may have received this communication in error, please reply to the sender indicating that fact and delete the copy you received. In addition, you should not print, copy, retransmit, disseminate or otherwise use this information. Thank you. cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow -w .ConfinnNetcom - 877.669.8600 1:4