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Home My WebLink About376039 THE BALLARD GROUP INC - INSURANCE CERTIFICATE (4)BALLAGRO Client#: 1086719 ACORD. CERTIFICATE OF LIABILITY INSURANCE TE (MMJDD D9/10/2014 rr) /1012014 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 USI Colorado, LLC Prof Liab 1515 W nkoo Street y P Suite 200 Denver, CO 80202 ON NAME ' Nancy Roman PHONE g00 873-8500 FA" Eat : AIC, No aAA Lo, ADDRESS: Nancy.Roman@usi.biz INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Hartford Fire Insurance Company 19682 INSURED INSURER a: Travelers Casualty and Surety C 19038 The Ballard Group, Inc. P.0.36007 INSURER C Denver, CO 80236 INSURER D INSURER E INSURER F: 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. LTRR TYPE OF INSURANCE NSRL SUBR MD POLICY NUMBER MMID�YIYYri MMIOOIYYYYY LIMITS A GENERAL LIABILITY Y Y 34SBWEU2032 9/01/2014 09/01/2011 EACH OCCURRENCE $2,000000 X COMMERCIAL GENERAL LIABILITY PREAISES EaENTTEDnce $300000 CLAIMS -MADE OCCUR MED UP (Any one Person) $10 000 PERSONAL B ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 84,000,000 POLICY X PRO- LOC $ A AUTOMOBILELIABIUffY Y Y 34SBWEU2032 9/01/2014 09/01/2015 COMBINED iSINGLE LIMIT $2,000,000 BODILY INJURY (Per Person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per amdent) $ X PROPERTY DAMAGE Per acadern $ HIRED AUTOS X NONIMED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CI -AIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION WCSTATU- OTH- ER AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.1 L. DISEASE - POLICY LIMIT $ B Professional 105334565 9101/2014 09101/201 $,000,000 per claim Liability $2,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Addiflonal Remarks SCNadule, H mom space Is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability, but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. The General Liability insurance applies on a primary and non-contributory basis. A Blanket Waiver of (See Attached Descriptions) City of Fort Collins P.O. BOX 580 Fort Collins, CO 80522-0580 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 (2010/05) 1 of 2 #S13266878/M13254885 01988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NARBC DESCRIPTIONS (Continued from Page 1) Subrogation applies for General Liability. Additional Insured: City of Fort Collins, CO SAGITTA 25.3 (2010105) 2 of 2 US1