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.
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