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HomeMy WebLinkAbout432987 MBI CONSULTING LLC - INSURANCE CERTIFICATE (7)MBICO-1 OP ID: BA `'%* " CERTIFICATE OF LIABILITY INSURANCE D03111t12014 I 03/11/2014 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 PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Johnstown Select Accounts CONTACT N ME PHONE Ax C No No; ADDRESS: INSURERS AFFORDING COVERAGE NAIC• INSURER A:EMCInsurance Companies 21415 INSURED MBI Consulting, LLC PO Box 2085 4329' INSURERS;PinnacolAssurance Co 41190 Fort Collins, CO 80522 NSURERC: INSURER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NI IMRFR- L.I. 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 Y EFF MMI POLICY EXP MMIDY"P LIMITS GENERAL LUMMUTY EACH OCCURRENCE S 1,000,00 A X COMMERCIAL GENERAL CLAIMS -MADE --I OCCUR X 3DS4668 02/0412014 02104/2015 PREMISES Eaocou S 60,000 MED EXP (Any are person) $ 5,00 BLANKET ADD'L INSURED PERSONAL & ADV INJURY s 1,000,000 GENERAL AGGREGATE s 2,000,00 GENL AGGREGATE LIMIT APPLIES PER: POLICY PRO-LOC$ PRODUCTS-COMP/OP AGG $ 2,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Cent BODILY INJURY(Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Pw aoeldsnt) $ NON -OWNED HIRED AUTOS AUTOS TYDAMAGE P RACCIDENT)S $ UMBRELLA UAS OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS UAS CLAIMS -MADE DED I I RETENTIONS I IS B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTNEY/N OFFICERIMEMBER EXCLUDED? MIA 106693 07/01/2013 0710112C WC STAN- OTH- XIM E.L.EACHACCIDENT $ i00,000 E.L. DISEASE - EA EMPLOYEES 100,0 00 (Mendatory In NM) If yeA describe urWer DESCRIPTION OFOPERATIONS.,. E.L. DISEASE -POLICY LIMIT $ 600,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aftwh ACORD 101, Additlonsl Asmara, Schedule, If mom space Is required) All Locations / All Operations City of Fort Collins PO Box 580 Fort Collins„ CO 80522 CITYOF3 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 ACORD 25 (2010/06) © 1988-2010 ACORD The ACORD name and logo are registered marks of ACORD All rights resarved