HomeMy WebLinkAbout462625 ZENGER FOLKMAN COMPANY INC - INSURANCE CERTIFICATEACORa CERTIFICATE OF LIABILITY INSURANCE
DATE I NBNDD(YYYY)
12/19/2013
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).
GOUGER
COLONIAL GENERAL INS AG INC UT/PHS
470765 P: (866) 467-8730 F: (888) 443-6112
CONTPLT
NAM '
(N"r� Soo: (866) 467-8730
R ,Ne): (888) 443-6112
A'DDRESe:
PO BOX 33015
SAN ANTONIO TX 78265
INSURER(S) WORDING COVERAGE HARDY
INSURER A: Hartford Casualty Ins Co
�m
6 zs
INSURERS: Multiple Companies
46z
INSURER C:
ZENGER FOLKMAN COMPANY, INC.
INSURER0:
1550 N TECHNOLOGY WAY BLDG D
INSURER E:
OREM UT 84097
INSURERP:
bCR rrr n-AIC ISMMCCK: OFVISIr1M MI WOCO.
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.
LYSR
rIP£OF
A
PoT
PVd//OMI'ETF'1F'ET
0
POLI(T'E1P
LMrns
OEYERL
LLwain'
EACH OCCURRENCE
000, 000
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES Ea manta
3 0 0 O O O
MED EXP (Anyone Person)
s10,000
CLAIMS -MADE OCCUR
X
X
PERSONAL & ADV INJURY
e1,000,000
A
General Liab
34 SBA VQ0218
12/23/2013
12/23/2014
GENERAL AGGREGATE
s2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
Irm POLICY PRO' X LOC
PRODUCTS -COMPIOP AGO
2,000, 000
A[TO.MOBILELI.fBlllTl'
COMBINED SINGLE UMIT
(ES&OCIdeln)
I1,000,000
A
ANY AUTO
ALL OWNED s�cr�DULeD
39 SBA VQ021e
12 /23/2013
12/23/2014
BODILY INJURY (Per Peson)
s
BODILY INJURY (Per aedasM)s
X
HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
(Per Mddert)
S
9
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCEs5,000,000
A
EXCESSLMB
CLAIMS -MADE
34 SBA VQ0218
12/23/2013
12/23/2019
AGGREGATE
5�000�000
DE
X RETENTION S1 Or 000
y
B
u oxeur%urrlrr TWN
AVDENPLOI'LR.CLFJUUTr
ANY PROPMETORIPARTNERIEXECUT)VEYIH
OFFICEILMEMBER EXCLUDED?
(MndarorylnNH) El
It yes, dee«Ibe under
DESCRIPTION OF OPERATIONS below I
WA
34 WEC IP8263
08/30/2013
08/30/2014
we eTAru. o
X TORy LIMITS ETAS
E.L. EACH ACCIDENT
s
1, 0 0 0, 0 0 0
El, DISEASE. EAEMPLOYEE
a1,000,000
E.L DISEASE - POLICY LIMIT
'1, 000, 000
DESCRIPTION OF OPERATIONS /LOCATAWS/ VEHICLES (MAXLlne Lanage Is 73:Af .Jr ACORD Car, AdOMensin essm awnadA a.Iew eMre is nyWnlQ
Those usual to the Insured's Operations. Certificate Holder is an Additional
Insured per the Business
Liability Coverage Form SS0008 attached to this
policy.
CERTFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
City of Fort Collins
Attn: Purchasing
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATNE
PO BOX 580
FORT COLLINS, CO 80522
Wd Taal-LU1U ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
DST 00071920