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Home My WebLink About516354 THE OMEGA GROUP - INSURANCE CERTIFICATE``C"R & CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDD/VYYYI 08/27/2013 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 ALLIANT INSURANCE SERVICES INC CONTACT NAME: IAICNNo, Ertl: (8881661-3938 1�. No): (877) 552-6091 E-MAIL ADDRESSService.centar@tmKelera.com 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101-8156 - (888) 661-3938 XY330 882 I PRODUCER CUSTOMER ip#. 204014013146 INSURERS) AFFORDING COVERAGE NAIC# INSURED THE OMEGA GROUP INSURER A:TRAVELERS PROPERTY CASUALTY COMPANY OF AMENICA INSURER B: 5160 CARROLL CANYON RD 1ST FL INSURER C: SAN DIEGO, CA 92121 INSURER D: INSURER E: INSURER F: 'COVERAGES CERTIFICATE NUMBER' 6766" 1113091422 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. NSfl LTR TYPE OF INSURANCE ADDL INSq SUBR POLICY NUMBER POLICY EFF MM/DDIYVYY POLICY EXP MMIDDIYYYY OMITS GENERAL UABIITY EACH OCCURRENCE $ DAMAGE TO RENTEDPREMISES Ea accurranc $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Any one arson $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPJOP AGG$ $ POLICY JPECTRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Par accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NON -OWNED AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE RRDEDUCTIBLE I $ Is ETENTION $ A DRIVERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE NIA X UB-3539X975-13 01/28/2013 01/2812014 X wRy TlMrrs DTH ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) AS RESPECTS TO WORKERS COMPENSATION COVERAGE, WC 00 03 13 (00) AND WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA HAS BEEN ATTACHED TO THE POLICY. CITY OF FORT COLLINS IS LISTED IN THE ENDORSEMENT SCHEDULE AS A DESIGNATED PERSON OR ORGANIZATION. rtaillaa:l CITY OF FORT COLLINS ED BONNETTE 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 ram` J ii� 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD