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HomeMy WebLinkAboutCRW INC - INSURANCE CERTIFICATE (3)A�� "® CERTIFICATE OF LIABILITY INSURANCE 5�1/2013YTY) 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 endomement(s). PRODUCER Cc West Insurance Group P.O. BOX 910 Castle Rock CO 80104 CONTACT COWest Corporate NAME: rP PHDNE (303) 688-9597 FAX o. (303)688-8856 E-MAIL -ADDRESS'info@cowest.com INSURERS AFFORDING COVERAGE NAICN INSURER A Landmark American INSURED CRW, Inc PO BOX 631067 Highlands Ranch CO 80163 INSURERB:Oh.io Security 24082 INSURERCRSUI Indemnity INSURER D: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBERMaster 13/14 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 OF INSURANCE ADDLTYPE 1UR yn POLICY NUMBER EFF MWDDIYYYY MLICY W LICY EXP DDYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR LEU1136787 /26/2013 /26/2014 PREMISES aoccurrence) $ 50,000 MED EXP(Any one person) $ EXCLUDED PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENE. AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO - FLOC I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BAS55508292 /26/2013 /26/2014 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON-OA0I AUTOS Medical menis S $ 000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ C EXCESS LEAD CLAIMS -MADE LED I X I RETENTIONS 10, 00 1 Is 32625 /26/2013 /26/2014 WORKERS COMPENSATION WC STATD- I OTH- FIR AND EMPLOYERS' LIABILITY Y I NUM ANY PROPRIETORIPARTNEWEXECUTIVE❑ E.L. EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) It yes descnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. It more space Is mqulmd) City of Fort Collins, its officers, agents and employees are named as additional insured as pertains to General Liability. City of Fort Collins City Director of Purchasing and Risk Mans 215 N Mason Street 2nd Floor/PO 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 Caskey/SLB ACORD 25 (2010/05) INSn26 oninnsl n1 Tho Arnan uomo and Innn =ro rcnicfcrud martre ^f Arnan All rights reserved.