Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout127605 SKUMATZ ECONOMIC RESEARCH ASSOCIATES INC - INSURANCE CERTIFICATEAtC�RI
CERTIFICATE OF LIABILITY INSURANCE
DATE IMMIDDIYYYYI
02-26-2013
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 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
TAGGART & ASSOCIATES, INC/PHS
NAME:
PHONE
342321 P: O - F: O -
IA/C.No.Eec: IA/c,Npl:
PO BOX 33015
ADDRESS:
SAN ANTONIO TX 78265
INSURERS)AFFORDING COVERAGE NAIGa
INsuRERA: Hartford Casualty Ins Co
o
INSURED
INSURERS: Twin City Fire Ins Co
SKUMATZ ECONOMIC RESEARCH ASSOCIATES,
INSURER C:
INC.
762 ELDORADO DR STE 100
INSURER D
SUPERIOR CO 80027
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 HFREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTN
I TYPE OF INSURANCE
INSR
WVD
POLICY NUMBER
IMMIDDIYYYYI
IMMIDDNYYYI
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENER�AyL LIABILITY
_! CLAIMS -MADE I X I OCCUR
U General Liab
�y�
L`J
U
34 SBA PA5100
03/12/2013
03/12/2014I
EACH OCCURRENCE
I S 2, 000, 000
PREMISES IEa «cu„encel
S 300 000
MED EXP IAny one Pereanl
S 10,000
PERSONAL &ADV INJURY
I52,000,000
GENERAL AGGREGATE
5 4,000, 000
LGENI'L AGGREGATE LIMIT APPLIES PER:
POLICY a PRO-
JECT LXJ LOC
PRODUCTS - COMP/OP AGG
5 4,000,000
$
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OS SCHEDULED
AUTOS SCHEDULED
HIRED AUTOS LJ AUTOS
_
LI
_
L
34 SBA PA5100
03/12/2013
03/12/2014
COMBINED SINGLE LIMIT
IEeeccidentl
S 2, 000, 00O
BODILY INJURY (Per person)
S
BODILY INJURY (Per eccidentl
9
PROPERTY DAMAGE
(Per accident)
$
S
UMBRELLA LIAR Li OCCUR
EXCESS LIAB I CLAIMS -MADE
I
u
u
EACH OCCURRENCE
5
AGGREGATE
S
DED I RETENTION S
S
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBER EXCLUDED? a
IMandmwY in NH)
er
0 ES If CMPTION Odescribe FdOPERATIONS below
NIA
U
-
34 NEC GM5199
03/12/2013
03/12/2014
WCSTATU- OTH-
X TDRY LIMITS R
E.L.EACH ACCIDENT
.
S 1 000000
E.L. DISEASE - EA EMPLOYED
S 1 000 000
E.L. DISEASE -POLICY LIMIT
I S 1., 000, 000
El
El
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (An.ch ACORD 101. Addltlonal Remake Schedule, if more so.. Is,s,I
Those usual to the Insured's Operations.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
City of Fort Collins
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
Attn : James B . O'Neill
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED UPRESENTATIVE
'�j `
PO BOX 580
Fort Collins, CO 80522—
e' 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 12010/05) The ACORD name and logo are registered marks of ACORD