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Home My WebLink About112606 ROCKY MOUNTAIN WILDLIFE SERVICES INC - INSURANCE CERTIFICATE (3)ROCKY-3 OP ID: BL sac CERTIFICATE OF LIABILITY INSURANCE `� DATE/ 11/26120136/2013 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 endorsements . PRODUCER Phone: 914-395-3131 Select Insurance Agency, Inc. Fax: 914-395-0200 95 Main Street CONTACT Select Insurance Agency, Inc. PNDNE 914-395-3131 FA A/C No Ert: AK: No: 914-395-0200 Tuckahoe, NY 10707-2911 Glenn Dauberman gDUeREss: quotes@seiectagency.com INSURE S AFFORDING COVERAGE NAIC• INSURER A: Arch Insurance Company 11150 INSURED Rocky Mountain Wildlife Services, Inc 1 ( Z6O 9696 County Road 78 INSURER B: INSURER C: Fort Collins, CO 80524 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 LTR TYPE OF INSURANCE POLICY NUMBER MMM POLICY EFF MPMtD EXP l rn A GENERAL LIABUnY X COMMERCIAL GENERALLIABILITY CLAIMS -MADE �X J OCCUR X BPPKGO519201 12/01/2013 12/01/2014 EACH OCCURRENCE $ 1,000,0 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) S 5,00 PERSONAL B ADV INJURY S 1,000,0 GENERAL AGGREGATE E 3,000,00 GEML AGGREGATE LIMIT APPLIES PER: PR0. LOC X I POLICY JFCT PRODUCTS - COMPICP AGG S 3,000,00 S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Es acc!dsm BODILY INJURY (Per person) S BODILY INJURY (Per acaddere) S PROPERTYDAMAGE Pleaeidenl $ S UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DEO I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERAIEMBER EXCLUDED? (MandatorylnNH) II yyeea. deaaihe OESCRIPTION OF OPERATIONS below N/A WC STATU- OETrH E.L. EACH ACCIDENT' - S E.L. DISEASE -EA EMPLOYEE -- -- S S E.L DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarlu Schedule, If more apace Is required) City of Fort Collins is listed as additional insured with respect to work performed by Rocky Mountain Wildlife Services, Inc per written contract. CERTIFICATE HOLDER CANCELLATION CITY033 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD