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Home My WebLink About275829 BONNIE ROERIG & ASSOCIATES - INSURANCE CERTIFICATE (2)BONNROE OP ID:SH '4isl. ' CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) osn v1a 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 endorsements . PRODUCER Jewell Insurance Associates Phone:303-740-8101 8480 E. Orchard Road, Ste 5500 Fax: 303-740-8019 Greenwood Village, CO 80111 David P. Jewell, C.I.C. CONTACT NAME: Shannon McEwen PHCNNE. E,1; 303-740-8101 ac No): 303-496-1949 AEA Ess: shannonm@jewellins.com INSURERS AFFORDING COVERAGE NAIC 0 INSURERA: Safeco Insurance Company INSURED Bonnie Roerig & Associates LLC 1873 S. Bellaire St #1222 Denver, CO 80222 INSURER B:Owners Insurance Company 32700 INSURER °: Pinnacol Assurance INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION Nt1MRFR- 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 rypE OF INSURANCE ADO POLICY NUMBER POLICY EFF IMMIODNYYYI POLICY EXP QMNVDD/ Y LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X 028P8120244 05/13114 05/13115 EACH OCCURRENCE $ 1,000,00 PRREMISES 4Ea ocwnence $ 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL$ ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: RO LOC X POLICY PIFCT PRODUCTS - COMP/OP AGG $ 2,000,00 $ BNY MOBILE LIABILITY AUTO OWNED SCHEDULED UTOSAUTOS IRED AUTOS X NON -OWNED AUTOS X 807629700 07/27/14 07/27/15 COMBINED SINGLE LIMIT Ea eocid.re 1,000,00 BODILY INJURY (Per person) $ gALL BODILY INJURY(Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ Ld AGGREGATE $ DED RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPP.IETORPARTNERMXECUTIVE OFFICERIMEMBER EXCLUDED' (Mandatory In NH) It Yes, describe under DySCRIPTION OF OPERATIONS below NIA 1412252 09101/14 09/01/15 X WC STATUSOTH- N E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE -EA EMPLOYEE $ 100,00 E.L. DISEASE -POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Addltlonal Remarks Schedule, H more space Is required) City of Fort Collins is included as Additional Insured under the General Liability and Automobile Liability. CFORTCI City of Fort Collins Purchasing Division 215 N Mason St 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 U 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD