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HomeMy WebLinkAbout167490 PEAK AUDIO VISUAL DBA CCS PRESENTATION SYST - INSURANCE CERTIFICATE (2)UI' IU: 1K ATE (MMIDYY) ,acoRO CERTIFICATE OF LIABILITY INSURANCE D01123/2 Y014 01123/24 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 endorsements . PRODUCER CONTACT NAME: Carver and Associates PHONE PAX 7710 Ralston Road A/Cye E>e1;. ac Ne: Arvada, CO 80002 EApIRFss: _ INSURED Peak Audio Visual dba INSURERA:Travelers Indemnity of America 36161 CCS Presentation Systems 16700 INSURER B: 700 West Mississippi Ave., A-6 INSURER e: Denver, CO 80223 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. INSR TYPE OF INSURANCE mmlwu POLICY NUMBER M UCY EFP MI EXP LIMITS A GENERAL LABILITY X COMMERCIAL GENERAL LIABILITY CIAIMSMADE �X OCCUR BB065408135 02/781Z014 02118=15 EACH OCCURRENCE $ 1,000r PREMISES Ea omenaKaI S 300r MEDEXP(AM " ) S 5. 001 PERSONAL S ADV INJURY $ 1,000, GENERAL AGGREGATE S 2,000,0011 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: X JECT 1 PRo- LOC PRODUCTS - COMPIOP AGG $ 2,000,60 $ A AUTOMOBILE LABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 680664OB135 OVIV2014 02/18/2015 COMBINED SINGLE LIMIT (Ea accident) S 1,000,06 BODILY INJURY (Pw pereon) $ BODILY INJURY (Par amidnt) $ PROPERTY DAMAGE (PER ACCIDENT) $ X X $ S A UMBRELLA LURE EXCESS LAB X OCCUR CLAIMS -MADE CUP0578T235 02/1812014 ._._ 02H8I2015 EACH OCCURRENCE S 4,000,00 AGGREGATE $ 4,000,00 DEDUCT RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandawry In NH) H yes. desaibe under DESCRIPTION OF OPERATIONS Belvx NIA WCSTATUL,Mrr- OTH- I E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE 5 E.L. DISEASE -POLICY LIMIT S A Business Owners 680654OB136 02/18/2014 02/18/2015 Property 110,364 DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ASaah ADORD 101, Ade00nal Raab Sw adul% Rrron aPaaa M nqulrod) Certificate holder, its officers, agents and employeas are additional insured if required by written contract FORTC-6 City of Fort Collins Purchasing and Risk Management 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 U TyaD-ZUUB AGUKU UUKVUKA I wK. All ngnra reserVUU. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD