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Home My WebLink About457580 J F SATO & ASSOCIATES INC - INSURANCE CERTIFICATE (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMmonrvv) 7/3/2012 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 endorsements . PRODUCER CONTACT NAME: Kathy -Star Van Gilder Insurance Corp. 1515 Wynkoop, Suite 200 Denver CO 80202 PHONE aC N.):303-831-5295 EMAIL ADDREss:kstar@vgic.com INSURERS AFFORDING COVERAGE NAILIf INSURER A:Hartford InsuranceGroup /s1 _ INSURED I INSURER B:XL Specialty Ills_ q_ fa DCE_Co. 37885 J. F. Sato & Associates, Inc. INSURER C: 5878 S. Rapp Street Littleton CO 80120 INSURERD: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 661216640 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 LTR TYPE OF INSURANCE ADDL INSR SUBR MD POUCYNUMBER I POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY Y Y 4SBWN09598 12/24/2011 2/24/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $300,000 CLAIMS -MADE IT] OCCUR MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIJECTT APPLIES PER: PRODUCTS-COMP/OPAGG :2,000,000 $2,000,000 POLICY I^ PRO LOG $ A LIABILITY Y V 34SBWN09598 12/24/2011 2/24/2012 Ea accitlent $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS POMOBILE BODILY INJURY (Per accident) $ Pe�accitlen PERDAMAGE $ HIRED AUTOS X AONOSWNEO A X UMBRELLA LIAB X OCCUR Y Y 34SBWN09598 12/24/2011 2/24/2012 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000.000 EXCESS LIAB I CLAIMS -MADE DEO X RETENTION$10,000 $ WORKERS COMPENSATION WO STATU- OTH- AND EMPLOYERS' LIABILITY y / N RV LIM T ER EL EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE❑ OFFICERIMEMBER EXCLUDED? N/A E.L. DISEASEEAEMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ B Professional Liability DPR9699696 /18/2012 Per Claim $1,000,000 Claims Made �/18/2013 Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) If required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability, Automobile Liability and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability and Umbrella/Excess Liability/ Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability and Automobile Liability. Additional Insured: City of Fort Collins City of Fort Collins, Purchasing PO 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. AUTHOR REPRESENTATIVE ACORD 25 (2010105) @ 1988.2010 The ACORD name and logo are registered marks of ACORD All Hants reserved.