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Home My WebLink AboutPEAK AUDIO VISUAL DBA CCS PRESENTATION SYSTEMS - INSURANCE CERTIFICATEOP ID: SR ,d►�o�Ro° CERTIFICATE OF LIABILITY INSURANCE Dnr0vvv) 02109/1109/12 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 endorsement(sl: - ""- - .;� PRODUCER 303-420-1637 CONTACT NAME: ... s _ _.. Carver and Associates -. Ralston Road! -- _ 303-431-9237 ffic.a,bi' .• Arvada, C080002 -` --' Arvada, Don W Carver - PHONE FAX .. ,Vc No E.I; -' Alc, No: - -- E.MAIL ADDRESS: PRODUCER L•L•SPR-2 '. CUSTOMER ID k: INSURERS) AFFORDING COVERAGE NAICN INSURED Peak Audio Visual I INSURER A: Travelers Indemnity of America CCS Presentation Systems 700 West Mississippi Ave., A-6 Denver, CO80223 INSURER B: INSURERC: INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 TR OF INSURANCE ADDTYPE INSR D POLICY NUMBER EFF MMLDDIYYYY POLICY YYYY MM/DDPOLICY LIMITS A -:: GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Blanket Add. Ins. 680654OB135 ' 02/18/12 02118113 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 MED EXP(Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY X' PRO- 1.•.' PRODUCTS - COMPIOP AGG IS 2,000,00 $ ' A ii "AUTOMOBILE LIABILITY ANY AUTO` - - - ' ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS ' - 680654OB135 02/18/12 02/18/13 I COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) .$ BODILY INJURY(Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ A UMBRELLA LIAR EXCESS ICLAIMS-MADE X OCCUR CUP0576T235 02118/12 02118113 EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NHl If yes, describe under DESCRIPTION OF OPERATIONS below WC $TATU- OTH- T RV LIMIT ER - E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ q Business Owners 6806540B135 02116112 02118113 Property 107,15 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder, its officers, agents and employees are additional insured if required by written contract CERTIFICATE HOLDER CANCELLATION FORTC-6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Purchasing and Risk Management P. O. BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 'Il ti 11988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD