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HomeMy WebLinkAbout309311 CAPSTONE PLANNING & CONTROL INC - INSURANCE CERTIFICATE (5)'``� b® CERTIFICATE OF LIABILITY INSURANCE �/24/2o 3 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 endorsement(s). PRODUCER Taggart & Associates, Inc. 1600 Canyon Boulevard P. O. BOX 147 Boulder CO 80306 CONTACT Regina Case NAME: g y PHONE (303)442-1484 FAX AJCo•(303)442-8822 E-MAIL , rcas ey@taggart insurance. corn INSURERS AFFORDING COVERAGE NAIC# INSURER A:Hartford Fire Insurance Co 19682 INSURED Capstone Planning & Control, Inc. CAPSTONE PLANNING & CONTROLS LLC 11001 W. 120th Ave, Suite 220 Broomfield CO 80021 INSURERB:Rated by Multiple Companies INSURERC:Darwin Select Insurance Co INSURER D: in INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 Master 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 SUBR POLICY NUMBER POLICY EFF MM/DDNYYYi POLICY EXP (MM/DD1YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Eaoccurrence) S 300,000 A CLAIMS -MADE ❑X OCCUR 34SBAER2345 1/3/2013 1/3/2014 MED EXP(Any one person) $ 10,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 17 POLICY PRO X LOCI 1 1$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1 000 000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 34SBAER2345 1/3/2013 1/3/2014 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X X NON-OVVNED HIRED AUTOS AUTOS X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 81000,000 AGGREGATE $ 8,000,000 A EXCESS LIAR CLAIMS -MADE DEC) I X I RETENTION$ io,00a $ I 4SBAER2345 1/3/2013 1/3/2014 B WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4WECGL8768 1/1/2013 1/1/2014 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C PROFESSIONAL LIABILITY 306-7192 6/2/2013 6/2/2014 EACH OCCURRENCE $ 5,000,000 DEDUCTIBLE $ 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, U more space Is required) City of Fort Collins Attn: Ms. Opal Dick 700 Wood Street Fort Collins, CO 80522-0580 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 ACORD 25 (2010/05) INS025 (201006).01 Regina Casey/RMC ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD