HomeMy WebLinkAbout491588 ZENGER FOLKMAN COMPANY INC - INSURANCE CERTIFICATE1__�
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�-� CERTIFICATE OF LIABILITY INSURANCE
DATE
08-16/-20113
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 ADDITIONALINSURED, 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 statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
COLONIAL GENERAL INS AG INC UT/PHS
470765 P:(866)467-8730 F:(877)905-0457
PO BOX 33015
CONIACI_
PAoE
FAX
(866)467-8730 A/c.No): (877)905-045
PM
AINoEatl:
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC F
SAN ANTONI O TX 78265
INSURER A : Hartford Casualty Ins Co
INSURED " ,r 1�
INSURER B : Multiple Companies
INSURER C
ZENGER FOLKMAN COMPANY, INC.
1550 N TECHNOLOGY WAY BLDG D
INSURER D
OREM UT 84097
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR-
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.
ILTRR
TYPE OF INSURANCE
IINSR
I WVDI
POLICY NUMBER
(MM/DD/YYYY)
(MMLDD/YYYY)
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE U OCCUR
Liab
L`1
_
u
34 SBA VQ0218
12/23/2012
12/23/2013
EACH OCCURRENCE $ 1,000, 000
DAMAGE TO RENTED
PREMISES Ea occurrence) S 300, 000
MED EXP (Any one person) $ 10,000
PERSONAL &ADV INJURY �$ 1 OOO OOO
General
GENERAL AGGREGATE S 2,000,000
GEN'L AGGREGATE LIMIT APPyLIES PER:
CI RO-
POLICY I� JECT LOC
PRODUCTS - COMP/OP AGG $ 2, 000, 000
$
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS u AUTOS
X HIRED AUTOS �jj((�� NON -OWNED
LJ AUTOS
u
u
34 SBA VQ0218
12/23/2012
-
12/23/2013
COMBINED SINGLE LIMIT
(Ea accident)
$ 1, 000, 000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
IPer accident)
$
A
X
UMBRELLA LIAB —I OCCUR
EXCESS LIAB I ICLAIMS-MADE
u
u
34 SBA VQ0218
12/23/2012
12/23/2013
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000, 000
DEDI X RETENTION $ 1 O 0 0 0
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PR PRIETOEXCLUDEDEXECUTIVE—
(Mandatory in NH) u
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
_
IJ
39 WEC IP8263
OB/30/2013
08/30/2014
X ORY LIMITS OER
E.L. EACH ACCIDENT
$ 1 OOO OOO
E.L. DISEASE - EA EMPLOYE
$ 1 000 000
E.L. DISEASE - POLICY LIMIT I
$ 1,000,000
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DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Those usual to the Insured's Operations. Certificate Holder is an Additional
Insured per the Business Liability Coverage Form SS0008 attached to this
policy.
ltla:ulaPlllw.Lei 41Ja: 9WAkIrWAIIIIIIII4111111I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
City of Fort Collins
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
Attn: Purchasing
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZEQ R PRESENTATIVE
PO BOX 580 -
FORT COLLINS, CO 80522a2_
B 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD