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HomeMy WebLinkAbout490870 STATERA INC - INSURANCE CERTIFICATE (2)xz'-T Ill CERTIFICATE OF LIABILITY INSURANCE `� DATE (MMIDD011 12/z7/zoll 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 endomement(s). PRODUCER Schwander Insurance Services, LLC 558 E. Castle Pines Pkwy Suite B4; PMB 405 Castle Rock CO 80108 CONTACT Ana Holdren NAME: PHONE (3O3)656-0800 FAX No: noorseS�ana@schwanderinsurance.com INSURERS AFFORDING COVERAGE NAIC9 INSURER A:Travelers Property Casualty Co. 25674 INSURED Staters 6501 E. Belleview Ave, Suite 300 Englewood CO 80111 INSURER B Travelers Indemnity Co Of Ameri 25666 INSURER CHartford Insurance Group INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBERCL11122700094 REVISION NUMBER: 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 LTft TYPE OF INSURANCE A L U POLICY NUMBER POLICY YIYYYY POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 500,000 A CLAIMS -MADE 7X OCCUR rT06306514 6/1/2011 6/1/2012 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGE $ 2,000,000 JECT 1-1 POLICY PRO- LOC $ AUTOMOBILE UABIUTY OMBINtlEDi SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X. ANY AUTO B BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED 1490RO12 6/1/2011 6/1/2012 AUTOS AUTOS PROPERTY DAMAGE $ NON-O MED HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 1}( AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10-OOC $ I TT06304857 6/1/2011 /1/2012 O WORKERS COMPENSATION WC STATU- DTH- X I MRS AND EMPLOYERS' LIABILITY YIN ECUTI,E IMBEOR L EACH ACCIDENT $ 11000,000 OFFICERIMEANY EXCLUDED' [E (Mandatory In NH) NIA 4WBCHJ4834 /1/2012 /1/2013 �E ktcM%ASE - EA EMPLOYE $ -1 000 000 If Dyes describe ESCRIPTION OF OPERATIONS below _ EL EASE POLICY LIMIT $ 1 DQD DDD A Technology/Cyber rT09406514 _ 6/1/2011 /1/2012 Each Wrongful Act $5,000,000 Errors & Omissions Liab Policy Aggregate $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is "ulmd) The City of Fort Collins is listed as an Additional Insured, under General Liability only, with respects to their interest in work performed by the insured as per written specified contract. City of Fort Collins 215 North Mason P. O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Schwander/ANA ©1988-2010 ACORD CORPORATION. All rights reserved. INS026r7mmmm Th. annon......eanAh,.,...e.enii.ihair rl...a.lra,.fanon