HomeMy WebLinkAbout128365 NATIONAL RESEARCH CENTER INC - INSURANCE CERTIFICATE (7)i� NAT1430 OP ID: N
CERTIFICATE OF LIABILITY INSURANCE 1
DA12/20DDIYYYV)
212012013
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 endorsement(s).
AGENCY
om
I Ave. Ste. 305
Insurance, Inc.
INSURED aNational Research Center, Inc. INSURER B:
'��b' 2955 Valmont Road Ste 300
Boulder, CO 80301 INSURERC:
COVERAGES CERTIFICATE NUMBER: 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.
LTR
TYPE OF INSURANCE
POLICY NUMBER
M POLICY loofyyy
FXP
P�pY yyy
UMnS
GENERAL LIAMLITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
PREMISES Ea occunence
$
MED EXP(Any one Person)
$
PERSONAL S AOV INJURY
S
GENERAL AGGREGATE
$
GEN'L AGGREGATE
POLICY
LIMIT APPLIES PER:
PRO- LOC
PRODUCTS - COMPIOP AGG
$
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON -OWNED
AUTOS
COMBINED SINGLE LIMIT
Ea socklem
BODILY INJURY (Per person)
$
BODILY INJURY (Par sccidam)
$
PROPERTY DAMAGE
PER ACCIDEN
S
S
UMBRELLA LIAB
EXCESS LUB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
$
DED I I RETENTION$
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
M yes, deacnbe urder
DESCRIPTION OF OPERATIONS Wcar
NIA
I WC STATU- TM -
R
$
S
s
E.L. EACH ACCIDENT
E. L. DISEASE - EA EMPLOYEE
E.L. DISEASE -POLICY LIMB
A
A
Professional Liab
Cyber Security Lia
PHSD889783 01/01/2014
PHSD902873 01/01/2014
01/01/2015 Prof Liab 2,000.00
01/01/2015 Cyber Lia 1,000,00
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ANaeh ACORD 101, Additional Remarks Schedule, If more space is required)
The Professional Liability policy includes Errors 6 Omissions Coverage of
$2,000,000 each claim,$2,000,000 annual aggregate, $5,000 deductible.
CITYFTC
City of Fort Collins
City Hall West
300 Laporte Avenue
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.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD