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HomeMy WebLinkAboutWESTRIAN GROUP INC - INSURANCE CERTIFICATE1 ACORI CERTIFICATE OF LIABILITY INSURANCE 09-18-2012 THIS CERTIFICATEIS 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 policylies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder in lieu of such endorsementls). PRODUCER CONTACT PHONe LOCKTON COMPANIES LLC/PHS FAx (-.A(IL =n: (a66)4a7-e73o I(AIc.NP,: (877)90s-045 340808 P: (866)467-8730 F: (877)905-0457 PO BOX 33015 ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURERA: Sentinel Ins Co LTD INSURED INSURER B: INSURER C : WESTRIAN GROUP, INC 7200 S ALTON WAY STE C100 & C400 INSURER D : INSURER E CENTENNIAL CO 80112 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. 'LTNR TYPE OF INSURANCE INSR WVO POLICY NUMBER (MMIDDIPYYVI I (MMIDDIYYYYI LIMITS GEN ERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 lED PREMISES Es occcurrence) $ 1, 000, 000 A L LIABILITY COMMERCIAL GENERAL I CLAIMSMADEX OCCUR XI General Liab _I H _ a 34 SBA PK5870 10/01/2012 10/01/2013 MED EXP Any one Poison) $ 10,000 PERSONAL & ADV INJURY $ 1 000 000 GENERAL AGGREGATE s 2, 000, 000 GEN'L AGGREGAATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 5 2,000, 000 � POLICY A JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea scciden0 $ ANYAUTO BODILY INJURY (Per Person) INJURY (Per (Per Person) 1 5 I� ALL OWNED I �SCHEDULED AUTOS u AUTOS HIRED AUTOS ff INON OWNED !—I u AUTOS u u BODILY INJURY IPer accidenU S PROPERTY pAMAGE IPer accidenq S I5 X UMBRELLA LIAR u OCCUR EACH OCCURRENCE I$ cj _000, 000 Al I EXCESS LIAB CLAIMS -MADE I E] IJ 34 SBA PK5870 10/01/2012 10/01/2013 AGGREGATE $ rj QQQ QQO DEDIXI RETENTION $ 10,0001 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE— OFFICERIMEMBER EXCLUDED? U NIA JI I WE STATUS OT I E.L. EACH ACCIDENT 5 E.L. DISEASE - EA EMPLOYEE $ (Mendstory in NH) It yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below El DESCRIPTION DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAtm[n ACORD 101, Additional Remarks Sch.dule, it more space is repuiredl Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: James O'Neill, CPPO P 0 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. AUTHORIZEQ fl PRESENTATIVE e1 ACORD 25 12010/05) The ACORD name and logo are registered marks of ACORD All rights reserved.