HomeMy WebLinkAbout494376 CC INTELLECT LLC & ATLAS ADVERTISING LLC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE
4/4/2013 Y'
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
Denver Agency
210 University Blvd, Suite 600
Denver CO 80206-4661
CONTACT Christy Fields
NAME
PHONE . (303) 892-6900 FAX AIC Not. (303)892-6938
E-MAIL R���.christy@denveragency.com
INSURERS AFFORDING COVERAGE
NAIL #
INSURER A Hartford CasualtyIns Co
'�I q+I� 1
INSURED K l Y 7�
CC Intellect LLC 6 Atlas Advertising, LLC
1128 Grant St.
Denver CO 80203
INSURER B
I INSURER C:
INSURER D:
INSURER E :
INSURER F:
COVERAGES CERTIFICATE NUMBER:CL134407453 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
SUER
POLICY NUMBER
POLICY EFF
MM DDIl
POLICY EXP
(MMIDDAYYYJ
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FxIOCCUR
34SEAPD9482
/15/2013
/15/2014
DAMAGE TO RENTED
PREMISES Ea occurrence
S 300,000
MED EXP Any one person)
$ 10,000
PERSONAL B ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 4 , 000, 000
GEN'L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
$ 4,000,000
X POLICY
PRO LOC
JECT
$
LIABILITY
COMBINED SINGLE LIMIT
2 000 000
BODILY INJURY (Per person)
$
AANY
AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
4SBAPD9482
/15/2013
/15/2014
POMOBILE
BODILY INJURY Per accident
( )
$
HIRED AUTOS X NONOWNEDPROPERTY
AUTOS
DAMAGE
Per accident
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION
$
WORKERS COMPENSATION
WC STATU- DTH-
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
NIA
i I CRY LIMITS
L.
E.EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
A
Business Personal Prop
_
341SBJUPD9482
/15/2013
/15/2014
Limitof Insurance: $115,000
Special Forl Di $250
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Certificate Holder is Additional Insured
City of Fort Collins
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
Hyman Roth, CIC/CHR A�"6
Ii Vmu LD tzu Iu VOJ V 16tltl-2U1U AGURD CORPORATION. All rights reserved.
INS025 (201005) 01 The ACORD name and logo are reqistered marks of ACORD