The URL can be used to link to this page

Home My WebLink About439705 BELFORD WATKINS GROUP LLC - INSURANCE CERTIFICATE (11)CERTIFICATE OF LIABILITY INSURANCE I'DA10MAIDD YYVY) 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 PRODUCER USI Colorado LLC 1515 Wynkoop, Suite 200 Denver CO 80202 INSURED BELWAT Belford Watkins Group, LLC 2 PO Box 1306 431 % a5 Fort Collins CO 80522 COVERAGES CERTIFICATE NUMBER: 945200256 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 RAVE BEEN REDUCED BY PAID CLAIMS. INSR 7R TYPE OF INSURANCE ADOLSUaR POLICY NUMBER POLICY EFF MMADDY EXP DMRs B GENERAL LIABILITY Y Y 34SRAPM7802 /8/2013 0812014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IT] OCCUR PREMISES Ea aamnanco $1,000,000 MED EXP (My one person) $10,000 PERSONAL &ADV INJURY $1,OGO,000 GENERAL AGGREGATE $2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $2,000,000 $ POLICY X PRO- Lam, B AUTOMOBILE LIABILITY Y Y 34SBAPM7802 71812013 /8/2014 Es ac idenl) $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTOS en BODILY INJURY (Per acrid0 $ X PROPERTY DAMAGE $ It B X UMBRELLA LULS X OCCUR Y Y 34SBAPM7802 18/2013 /11/2014 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 EXCESS LIPS CLAIMS -MADE LIED X I RETENTION$10000 It WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE❑ E.L. EACH ACCIDENT $ MI OFFICEREMBER EXCLUDED? MIA (Mandatary In NH) E.L. DISEASE - EA EMPLOYEE $ If y descum under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ A Professional Liability Claims Made N Y DP69714206 /15/2014 U1512015 Per Claim $1.000.000 Annual Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Albch ACORD 101, Additional Remarl s Schedule, If more space Is required) 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 See Attached... 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. 215 N Mason Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE �A� 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: BELWAT LOC #: .9C.VKLJ ADDITIONAL REMARKS SCHEDULE AGENCY (NAMED INSURED USI Colorado LLC ,Belford Watkins Group, LLC PO Box1306 POLICY NUMBER (Fort Collins CO 80522 CARRIER I NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Automobile Liability. Iced as Additional Insured: City of Fort Collins Page 1 of 1 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD