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Home My WebLink About319162 KRFC PUBLIC RADIO STATION - INSURANCE CERTIFICATE (2)ACORO ® CERTIFICATE OF LIABILITY INSURANCE 1 191201 1 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 ADDITIONAL INSURED, 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 INS NOODLE INC/WILLIS RETAIL/PHS 554080 P: F:(888) 443-6112 PO BOX 29611 CHARLOTTE NC 28229 CONTACT NMir (PHHCONE (AM ,Nae (888) 443-6112 Eras INSURER(S) AFFORDING COVERAGE NNCe INSURERA: Hartford Casualty Ins Co INSUIRED 317162 KRFC PUBLIC RADIO STATION 619 S COLLEGE AVE STE 4 FORT COLLINS CO 80524 INSURERS: INSURER C INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ASR ITV-LYSA TIP£OFLYS'LRANC£ ADD SI:B "ID POLICTN1,71MER POLICT£FF uu DDn�Tn POLICTEAP CDIITS A COMMERCIAL GENERAL UABIUTY CLAIMS-MADEOCCUR General Liab 33 SBA IL0735 01/01/2014 01/01/2015 EACH OCCURRENCE 51 r 0 0 0 r 0 0 0 DAMAGE TO RENTED PREMISES (Ea occurrence 53OOr OOO X X MED EXP (Any one Person) $10,000 PERSONAL B ADV INJURY s1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO ECT FE LOC OTHER: GENERAL AGGREGATE s2 r 0 0 0 r 0 0 0 PRODUCTS - COMP/OP AGG $ 2 I 0 0 0 r 0 0 0 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON-0WNED AUTOS 33 SBA IL0735 01/01/2014 01/01/2015 COMBINED SINGLE LIMIT (Ea accident) $1 r 0 0 0/ 0 0 0 BODILY INJURY (Per person) g BODILY INJURY (Per accident) 5 X PROPERTY DAMAGE (Per accident) S UMBRELLA LIAB EXCE38 LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE D RETENTION S 5 uos"RSCOAPElsayw..v AADEA&LOIERS'LINU ITT ANY PROPRIETORIPARTNERIEXECUTIVEY/N OFFICER/MEMBER EXCLUDED? (Mandatory in AW) - ❑ If yea, describe Under DESCRIPTION OF OPERATIONS below WA PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT 7 DESCRIPTION OF OPERATIONS /LOCATNNJS/ VEHKPMRD 101, Additional Remarks Schedule, may be attached If more space Is required) Those usual to the Insured's Operations CERTIFICATE HOLDER CANCELLATION THE CITY OF FORT COLLINS COLORADO N Mason St 215 N Mason St For Fort Collins, CO 80524 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 7Q2. 01988.2014 ACORD CORPORATION. All rights reserved) ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD DST 00071920 INS NOODLE INC/WILLIS RETAIL/PHS PO BOX 29611 CHARLOTTE NC 28229 SP 01 012481 66473B48 D " SNGLP THE CITY OF FORT COLLINS CO LO RADO 215 N Mason St 215 N Mason St Fort Collins CO 80524 ACORD 25 (2014/01) 1 ® ACORO CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDYV19'I 1/19/2014 THIS CERTIFICATES 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 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 INS NOODLE INC/WILLIS RETAIL/PHS 554080 P: F: (888) 443-6112 PO BOX 29611 CHARLOTTE NC 28229 CONTACT NAME' Pa CD."No.Ext) ---PAY (888) 443-6112 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAICM INSURERA: Harcforl ,lasualry Ins INSURED KRFC PUBLIC RADIO STATION 619 S COLLEGE AVE STE 4 FORT COLLINS CO 80524 INSURER B INSURER C'. INSURER D. INSURER INSURER F. COVERAGES CERTIFICATE NUMBER: 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. I.1SR 17RCOMMERCIAL T}PE OF LYSL8,t.1'C£ .4DD SIBR POLIO NUMBER ➢OLICYEFF POLICI'EAP LLIFITS GENERAL LIABILITY EACH OCCURRENCE > l, 000, 000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) s300,000 X X MED EXP (Any one person) >10,000 A General Llab 83 SBA IL)735 01/01/2014 01/C1/201.5 PERSONAL B ADV INJURY $1, 000, 000 AGGREGATE LIMIT APPLIES PER: POLICY a PELT F LOC GEN'L GENERAL AGGREGATE 12 , O O O , O O O PRODUCTS - COMP/OP AGG s2 r 0 0 0 r 0 0 0 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1, 0 0 0, 0 0 0 BODILY INJURY (Per person) g ANY AUTO A ALL OSCHEDULED AUUTOSS AUTOS 63 SBA IL0735 01/01/2014 01/01/2015 BODILY INJURY (Per accident); PROPERTY DAMAGE (Per accident) X HIRED AUTOS X NON -OWNED AUTOS a UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS -MADE AGGREGATE > D RETENTIONS RORSGRS'COMPF..SSiT"A i\D01PLOIERS'LI}RB.ITT PER OTH- STATUTE I ER F.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVEY N OFFICER/MEMBER EXCLUDED? (Mandatory In NHl ❑ N/A E.L. DISEASE -EA EMPLOYEE ` If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS /LOCATIONS /VEHAMMRD 101, Additional Remarks Schedule, may be attached 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 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED THE CITY OF FORT COLLINS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ' COLORADO - 215 N MASON ST 215 N MASON ST FORT COLLINS, CO 80524 79-7-- / u� C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD DST D0071920 INS NOODLE INC/WILLIS RETAIL/PHS PO BOX 29611 CHARLOTTE NC 28229 SP 01 012480 66473B48 D "SNGLP I1111��1��111111�11'I'I�I'�'1"I��I�I11��1��11�11�1�11��111 THE CITY OF FORT COLLINS CO LO RADO 215 N MASON ST 215 N MASON ST FORT COLLINS CO 80524 ACORD 25 (2014/01) AC<>Ro® CERTIFICATE OF LIABILITY INSURANCE iiil9 aoi41 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 ADDITIONAL INSURED, the policy(les) 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 INS NOODLE INC/WILLIS RETAIL/PHS CONTACT NAME PHONEFAX (AIC, No. Est): (A/C, No): (888) 443-6112 554080 P: F: (888) 443-6112 E-MAL ADDRESS: PO BOX 29611 INSURER(S) AFFORDING COVERAGE NAIC4 CHARLOTTE NC 28229 INSURERA: Hartford Casualty Ins Co INSURER S : 7KRFCPCUOBLIC INSURER C RADIO STATION INSURER DLEGE AVE STE 4 INSURER E: FORT COLL INS CO 80524 INSURERF' 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. L\SR TYPE OF LVSLRA,VCE ADD SCBR pOLICf,\'L:1D3£R POLICF£FF ,H. VDD/1777 POLICF£APITR LLM1IITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ;;1 , 0 0 0 , 0 0 0 CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence s300,000 X X MED EXP (Any one pawn) ,10,000 A General Llab 33 SBA IL0735 01/01/2014 01/01/2015 PERSONAL S ADV INJURY s1, 000, 0 Q 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- JECT a LOC GENERAL AGGREGATE s2 r 0 0 0 , 0 0 0 PRODUCTS - COMPIOP AGG s 2, 0 0 0, 0 0 0 OTHER OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) s l, 0 0 0, 0 0 0 A ANY AUTO ALL OSCHEDULED AUUTOSS AUTOS 83 SEA IL0735 01/01/2014 01/01/2015 BODILY INJURY (Per person) s BODILY INJURY (Per accidents HIREDAUTOS X NON-01NED AUTOS X PROPERTY DAMAGE (Per accident) s s UMBRELLA LIAB OCCUR EACH OCCURRENCE s AGGREGATE s EXCESS LiAB CU11MS-MADE 0 RETENTION S F NORIERSCOJIPLSaTIOA' a.�DL4PLOIERs'L,IaILRT ANY PROPRIETOR/PARTNERIEXECUTIVEY/N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) WA PER OTR- STATUTE ER E.L. EACH ACCIDENT . E.L. DISEASE- EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT ' DESCRIPTION OF OPERATIONS /LOCATIONSI VEHAC#MMRD 101, Additional Remarks Schedule, may be attached 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 THE CITY OF FORT COLLINS, COLORADO 215 N MASON ST FORT COLLINS, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE r'ry vr.v iV %&w r"IV I I DST 00071920 01988-2014 ACORD CORPORA i Ile NIiVRU name ano logo are registered marKs Of ACOKD Bd> INS NOODLE INC/WILLIS RETAIL/PHS PO BOX 29611 CHARLOTTE NC 28229 AB 01 004165 66471 B 30 C 111'11,111'111111111111111111111111111111111111111111111111111,11 THE CITY OF FORT COLLINS, COLORADO 215 N MASON ST FORT COLLINS CO 80524-4402 ACORD 25 (2014/01)