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HomeMy WebLinkAboutCRW INC - INSURANCE CERTIFICATE (4)'a`o�zne CERTIFICATE OF LIABILITY INSURANCE 4/16/2014 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 endomement(s). PRODUCER Cc West Insurance Group P.O. Box 910 Castle Rock CO 80104 CONTA COABst CO orate NAM Corp PNOHE (303)688-9597 FAX (303)688-885e -MAIL .inEllfo@Co"St.com INSURE S AFFORDING COVERAGE NAIC0 INSURERA:Flrst Mercury INSURED CRW, Inc PO Box 631067 Highlands Ranch CO 80163 INSURERBOhio Security 4082 INSURER C:PinnaCol Assurance 41190 INSURERD.Travelers Insurance Company 5658 NSURER E INSURER F: COVERAGES CERTIFICATE NUMBERMaster 14/15 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. INBR TR TYPE OF INSURANCE POLICY NUMBER POLICY LICY EFF MMIDD Y LIMITS GENERAL LABILITY EACH OCCURRENCE E 1,000,000 E 50,000 X COMMERCIAL GENERAL LABILITY A CLAIMS -MADE ® OCCUR 031,000004131701 /26/2014 /26/2013 MED UP (Any oneperson) E 5,000 PERSONAL& ADV INJURY E 1,000,000 GENERAL AGGREGATE E 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO S 2,000,000 $ X1 POLICY I PRO- F1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 BODILY INJURY (Per person) S B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ELAS55508292 /26/2014 /26/2015 BODILY INJURY (Per accident) E PROPERTY DAMAGE (Per dam) E NON -OWNED HIRED AUTOS AUTOS Uninsured modems mmdnsd E 1,000,00 X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE E A E%CESS WB CLAIMSMADE LIED I X I RETENTION$ 10,OOC S PdA=000004124301 /26/2014 /26/2015 G' WORKERS COMPENSATION lr� Ina ATU- DTR AND EMPLOYERS' LABILITY ANY PROPRIETORIPARTNERIE%ECUTIVEr� EL EACH ACCIDENT E 1,000,000 OFFICE"EMBER UCLUDED7 I_J (Mandatory In NMI N)A 083602 /1/2013 /1/2014 E.L. DISEASE - EA EMPLOYE E 11000,000 R gs, descries under DESCRIPTION OF OPERATIONS beloe E.L DISEASE -POLICY LIMIT $ 1,000,000 D Inland Marine -660-9D991625-TIL-14 /12/2014 /12/2015 Ume $450,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANaeh ACORD 101, A9dltlonal RemarRs Schedule, It more space is required) City of Fort Collins, its officers, agents and employees are named as additional insured as pertains to General Liability. City of Fort Collins City Director of Purchasing and Risk Mana 215 N Mason Street 2nd Floor/PO Box 580 Fort Collins, CO 80522 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 Caskey/SLB--- ACORD 25 01988-2010 ACORD CORPORATION. All rights reserved. INA0261oninnR%nl Th. Arnan R.nn. enH Innn �.e en,.lemruH marlre M Arnion