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Home My WebLink About319162 KRFC PUBLIC RADIO STATION - INSURANCE CERTIFICATEL-� CERTIFICATE OF LIABILITY INSURANCE 12TEl9 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 ADDITIONALINSURED, the policy(ies) 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 endorsement(s). PRODUCER WILLIS OF COLORADO INC/PHS 341664 P: (866)467-8730 F: (877) 905-0457 PHONE Ax No E.n: (866)467-8730 IAIC, No): (877)905-045 tM PO BOX 33015 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICM SAN ANTONIO TX 78265 INSURER A: Hartford Casualty Ins CO INSURED INSURER B: INSURER C: ,�� KRFC PUBLIC RADIO STATION 619 S COLLEGE AVE STE 4 INSURER D : FORT COLLINS CO 80524 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 INDICAI-ED. NOI'WI'I'HSIANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR,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 LTA TYPE OF INSURANCELIFF INSRWVD POLICY NUMBER POLICY (MMIDD/YYYY) IMMIDDIYVYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 1, 000,000 CO COMMERCIAL GENERAL L LIABILITY PREMISES IEa occurrence) S 300,000 A CLAIMS -MADE OCCUR I X I X General Liab �y� L`J U 34 SBA PB8927 01/01/2013 01/01/2019 MED EXP (Any one person) $ 10, 000 1 PERSONAL 3 ADV INJURY $ 1 000,000 GENERAL AGGREGATE s 2,000,000 EN'L AGGREIGATIE LIMIT APPLIES PER: L PRODUCTS - COMP/OP AGO 5 2,000, 000 IJ POLICY PRO U LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 511000,000 ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ A ALL OWNED SCHEDULED AUTOS u AUTOS X HIRED AUTOS �}}((�� NON OWNED L_1 AUTOS I u u 34 SBA PB8927 01/01/2013 01/01/2014 PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR OCCUR a EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS MADE u u DEDI I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETOR/PARTNER/EXECUTIVE— OFFICER/MEMBER EXCLUDED? a (Mendmory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A LJ WC STATU- I OTH- TORY LIMITS ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I B uu DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks SchedWe, if more space is required) Those usual to the Insured's Operations Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED THE CITY OF FORT COLLINS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE COLORADO DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEQ FICPRESENTATIVE 7".7 215 N MASON ST 215 N MASON ST FORT COLLINS, CO 80524 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ACORI LI CERTIFICATE OF LIABILITY INSURANCE 12TE19o2012 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 INSURERISI. AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsement(s). PRODUCER WILLIS OF COLORADO INC/PHS NAME PHONE FAX IAIC No E,n: (866)467-8730 IAIC,N.): (877)905-045 341664 2: (866)467-8730 F: (877)905-0457 PO BOX 33015 ADDRESS: INSURERS) AFFORDING COVERAGE NAICa SAN ANTONIO TX 78265 INSURER A: Hartford Casualty Ins Co INSURED INSURER B: INSURER C: KRFC PUBLIC RADIO STATION 619 S COLLEGE AVE STE 4 NsuRER D FORT COLLINS CO 80524 INSURERE: 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. ILTN TYPE OF INSURANCE INSR WVD POLICY NUMBER IMM ODIVYYV) ICY IMMIODIVVVIL V) LIMITS GENERAL LIABILITY EACH OCCURRENCE 5 1, OOO, OOO COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) 5 300, OOO MED EXP IAny one person) $ 10 , 000 ATX CLAIMS-MADE I X I OCCUR eneral Liab �y� LJ I I u 39 SBA PB8927 Ol/Ol/2013 Ol/Ol/2014 PERSONAL & ADV INJURY $ 1,000, 000 GENERAL AGGREGATE s 2, 000, 000 GENT AGGREGATIEI LIMIT APPLIES LIES PER: II ❑ POLICY a JECT I " LOC PRODUCTS - COMPIOPAGG s 2, 000, 000 S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accidend $ 11 000, 000 ANY AUTO BODILY INJURY (Per person) S BODILY INJURY IPer accident) $ • I t ALL OWNED SCHEDULED l—J AUTOS u AUTOS X HIRED AUTOS �y� NON OWNED H L`J AUTOS u u 34 SBA PB8927 01/01/2013 01/01/2014 PROPERTY DAMAGE Per a cident) I $ $ UMBRELLA LIAB u OCCUR EACH OCCURRENCE $ 5 EXCESS LIAR CLAIMS -MADE I I u Li DEDII I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVEI 1 OFFICERIMEMBER EXCLUDED? u (Mandatory in NHI If 1es, describe under DESCRIPTION OF OPERATIONS below NIA L WC STATU OTH- TORV LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 5 uu DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, it more space is required) Those usual to the Insured's Operations Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy CERTIFICATE HOLDER CANCELLATION THE CITY OF FORT COLLINS, COLORADO 215 N MASON ST FORT COLLINS, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE _ DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZER fl PRESENTATIVE 0 1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 12TE19D2012 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 CERTIFICATEOF 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 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 WILLIS OF COLORADO INC/PHS 341664 P: (866)467-8730 F: (877)905-0457 CONTACT AN PHONE Ax nIc "q Ew°': (866)467-e730 (A/c, No): (877)905-045 PO BOX 33015 ADDRESS: INSURERISI AFFORDING COVERAGE NAICM SAN ANTONIO TX 78265 INSURERA: Hartford Casualty Ins Co INSURED INSURER 8 INSURER CINsuRERD: KRFC PUBLIC RADIO STATION 619 S COLLEGE AVE STE 4 � INSURER E FORT COLLINS CO 80524 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. ILTq TYPE OF INSURANCE INSfl WVD POLICY NUMBERSulffl OL Y EFF IMM/DDIVYyYI PO C I (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH UCCURRENCE L11,001,000 PREMISES IEa occurrence, $ 300,000 COMMERCIAL GENERAL LIABILITY L�IABILITY A CLAIMS MADE I X OCCUR X General Liab IJ I I u 34 SBA PB8927 01/01/2013 01/01/2014I MED EXP (Any one person) $ 10, 000 PERSONAL&ADV INJURY $ 1, 000,000 GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREIIGATIEI LIMIT APPLIES PER: POLICY a "' I ^ LOG PRODUCTSCOMP/OPAGG $ 2,000, 000 S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (En accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) l $ A ALL OWNED I ISCHEDULED AUTOS AUTOS L.._L X HIRED AUTOS �jy(�� NON -OWNED L`J AUTOS I u u 34 SBA PB8927 01/01/2013 01/01/2014 BODILY INJURY (Per eccidenl) $ PROPERTY DAMAGE (Per aident) $cc Is UMBRELLA LIAB I OCCUR u EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS MADE 0 I I u _ I DEDI I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVEI 1 OFFIC EXCLUDEDt u IMandamty in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA I LJ I WC ITATIJ TORY LIMITS IDEfl EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY LIMIT I $ uu DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES IAllach ACORD 101. Additional Remarks Schedule, if mate space is required) Those usual to the Insured's Operations Gen I IHCAIL HULUtR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED THE CITY OF FORT COLLINS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE COLORADO DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE PRESENTATIVE 215 N Mason St 215 N Mason St Fort Collins, CO 80524 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD