HomeMy WebLinkAbout538201 EXHIBIT DESIGN ASSOCIATES - INSURANCE CERTIFICATEEXHIBA OF ID: NT
CERTIFICATE OF LIABILITY INSURANCE
DA06105/2014TE )
06105I2014
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).
PRODUCER
Insurance Assoc., Inc. -Estes
P. O. Box 4190
Estes
Estes Park, CO 80577
o Tulley
COCT
NAME:NTANancy-Jo Tulley
PnnicNNo Ell,970-586-0407 Fn c No : 970-586-3370
A R ss: njt@insurance-associates.com
INSURER(S) AFFORDING COVERAGE
NAICO
INSURERA;Ataln Specialty Ins. Company
INSURED Exhibit Design Associates
dba: IJR Services
INSURER B: Travelers Insurance, Inc.
INSURER C:
3080 Evening Mist Avenue
INSURER D:
Henderson, NV 89052
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NIIMRFR- -
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
ADDILP
POLICY NUMBER
POLICY EFF
FOLIC YYn
POLICY E%P
MMIDDII'Yn
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CIAIMS-MADE T OCCUR
X
CIP181292
12101/2013
12101/2014
EACH OCCURRENCE
$ 1,000,00
PREMISES Ea occurrence
$ 100,00
MED EXP(Any.one person)
$ 5,00
PERSONAL B ADV INJURY
$ 1,000,00
GEN'L
AGGREGATE LIMIT APPLIES PER
POLICY ❑PRO- ❑
JECT LOC
GENERAL AGGREGATE
$ 2,000,00
PRODUCTS - COMPIOP AGG
8 1,000,00
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea amitlent
g
1,000,00
BODILY INJURY (Per person)
$
B
ANY AUTO
X
BA001211827
04/1412014
0411412015
ALL OWNED SCHEDULED
AUTOS AUTOS
J
BODILY INJURY Per accident
( )
$
NON-OMMED
HIREDAUTOS AUTOS
PROPERTY DAMAGE
PerFEK ni
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
OED I RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOMPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑N/A
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
f yes, desuibe under
EL. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, AtlEKlonal Remarks Schedule, may he attached if more Space is required)
Museum of Discovery
It is understood and agreed that the certificate holder is named as
additional insured but only with respects to the liability arising out
of the activities of the named insured.
CERTIFICATE HOLDER r-ANCFI I ATIt1N
CITYFC1
HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 580
CCORDANCE WITH THE POLICY PROVISIONS.
[AUTHORIZED
Fort Collins, CO 80522
A��p�REPRESENTATIVE'� � 1 U
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD