The URL can be used to link to this page

Home My WebLink About167490 PEAK AUDIO VISUAL DBA CCS PRESENTATION SYST - INSURANCE CERTIFICATEOP ID: SM 4,11oRoe CERTIFICATE OF LIABILITY INSURANCE D02/12/2013ATE ) 02/12/2013 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 Phone: 303-420-1637 Carver and Associates 7710 Ralston Road Fax: 303-431-9237 CONTACT NAME: Pad Nn Ea: NC No): E-MAIL Arvada, CO 80002 Don W Carver-ADDRESS:PRODUCER 1 1 ,1 NV U CUSTOMER ID p: CCSPR-2 INSURERIS AFFORDING COVERAGE NAIC 0 INSURED Peak Audio Visual dba INSURERA:Travelers lndemni of America 36161 CCS Presentation Systems 700 West Mississippi Ave., A-6 Denver, CO 80223 INSURER B INSURER C: 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 TYPEOFINSURANCE DL SUBS POLICYNUMBER MM POLICY EFF IDDIYYYY POLICY EXP MMIDDIYYYYf LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSMADEFX7 OCCUR 680654OB135 02/18/2013 02/18/2014 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrencen $ 300,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER. POLICY X PRO LOG PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 680654OB135 02/18I2013 02/18/2014 COMBINED SINGLE LIMIT (Ea accitlent) S 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccidenl) $ X X $ A UMBRELLA LIAR I EXCESS LIAR X OCCUR CLAIMS -MADE CUP0576T235 02118/2013 02/18/2014 EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 DEDUCTIBLE RETENTION $ IS WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) 1f yes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- TORV IN ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Business Owners 680654OB135 02/18/2013 02/18/2014 Property 111,43 DESCRIPTION OF OPERATIONS I LOCATIONS I 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 FORTC-6 City of Fort Collins Purchasing and Risk Management 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 V 1988-21JU9 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD