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HomeMy WebLinkAboutLEI COMPANIES INC - INSURANCE CERTIFICATELEICO-1 OP ID: SLR ACORO" `..�� CERTIFICATE OF LIABILITY INSURANCE ATE a D0912910Ysnsnol4 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 Insurance Brokerage Commercial Risk Solutions DBA 6600 E. Hampden Ave. Denver, CO 80224 CONTACT Nonie R. Willisch NAMECRS PHONE FAX Arc Ne B,r:303-996-7801 AIc No: 303-757-7719 ADDRESS: : Nome R. Willisch INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: PInnacol Assurance INSURED LEI Companies, Inc. INSURER B: Westfield Insurance 24112 2017 Curtis .Street Denver, CO 80205-2516 INSURER C : INSURER 0: 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. INSR LTR TYPE OF INSURANCE J L U POLICY NUMBER MMICIPOLICY DIYYYY MM/D /DYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMST DE FxI OCCUR TRA6471852 10/01/2014 10/01/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Eaaaunence $ 500,00 MED EXP(Any one person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT ❑ LOC EC OTHER: GENERALAGGREGATE $ 2,000,00 X PRODUCTS - COMP/OP AGG $ 2,000,08 $ IS AUTOMOBILE LIABILITY JX ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIREDAUTOS AUTOS TRA6471852 10/01/2014 10/01/2015 COMBINED SINGLE LIMIT Eae cident $ 1,000,00 BODILY INJURY(Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per eocideM $ B UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE TRA5471852 10/01/2014 10/01/2015 EACH OCCURRENCE $ 9,000,00 IX AGGREGATE $ 9,000,08 DED I X I RETENTION$ None $ A WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? FIN] (Mandatory in NH) If yes, desmice under DESCRIPTION OF OPERATIONS cam NIA 4062205 10/01/2014 10/01/2015 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOYEE $ 1,000,00( E.L. DISEASE - POLICY LIMIT $ 1,000,00 B Lease/Rented Equip Special Forth/ACV TRA5471852 10/01/2014 10/01/2015 Limit 100,00 Ded 50 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORD 101, AddlBenal Remarks Schedule, may Ito atlaeNed 11 mots space Is required) Re: License #ME-1227. All policy terms, conditions and exclusions apply. CIFTCOL City of Ft. Collins P.O. Box 580 Ft. 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 RJ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD