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HomeMy WebLinkAbout439705 BELFORD WATKINS GROUP LLC - INSURANCE CERTIFICATE (10)CERTIFICATE OF LIABILITY INSURANCE I „11TnMMl°°"YYY, 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(les) 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 US Colorado LLC 1515 Wynkoop, Suite 200 Denver CO 80202 INSURED BELWAT I tNBURER B Belford Watkins Group, LLC 4j Q •�/l NSURER C: PO Box 1306 1 1 Y O� INSURER D: Fort Collins CO 80522 COVERAGES CERTIFICATE NUMBER: 756570752 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 ADDL N SUM POLICY NUMBER POLICY EFF MNW POLICY EXP M UNITS B GENERAL LIABILITY Y Y 34SRAPM7802 /8/2013 /111 014 EACH OCCURRENCE $1,000000 X COMMERCIAL GENERAL LIABILITY CLAIM&MADE IT] OCCUR PREMIS 8 (Ea occurrencel,$1,000,000 MED EXP (Any onoperson) $10,000 PERSONAL S ADV INJURY $1,000000 GENERAL AGGREGATE $2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000000 $ POLICY X I PRO- LOC B AUTOMOBILE LIABILITY Y Y 34SBAPM7802 71M013 18/2014 Ea xcidxd$1,000,000 BOOILV INJURY (FerllRson) S ANY AUTO ALLOOWNED SACHOEDULED BODILY INJURY (PeraaWeM) $ PROPERTY DAMAGE P r emiden $ X NON -OWNED HIRED AUTOS X AUTOS S B X UMBRELLA LIAO X OCCUR YY 34SBAPM7602 71812013 ri EACH OCCURRENCE $1,000,000 AGGREGATE 1 $1,000,000 EXCESS LWB CLAIMSMADE DED IX I RETENTION$10000 $ WORKERS COMPENSATION WC STATU- M qN0 EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE EACH ACCIDENT $ OFFICERNEMBER EXCLUDED9 ElE.L. NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If describe „peer DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT - $ Professional Liability N Y DP59714208 1512014 15/2015 Per Claim $1,000,000 Claims Made Annual Aggregate $1,000, 000 DESCRIPNON OF OPERATIONS LOCATIONS VEHICLES (ANach ACORD 101, Addfticnal Remark. Schedule, if ni apace is re4uhni As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and Owner are included as Additional Insureds for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. This insurance will apply on a primary, non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability Automobile Liability and Umbrella/Excess Liability. Limited Contractual Liability is included. The Umbrella / Excess Liability policy provides excess coverage over the General Liability and Automobile Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD