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309311 CAPSTONE PLANNING & CONTROL INC - INSURANCE CERTIFICATE (7)
'`c"R ID,® CERTIFICATE OF LIABILITY INSURANCE DATE,Mh/2014 lz/zzzola 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 Taggart and Associates, Inc 1600 Canyon Boulevard P. O. BOX 147 Boulder CO 80306 T g na Casey NRegina - NAME: NAME: ?NONE (303)442-1484 aNo: t103I 44z-eezz EbmA,'LSS,rcasey@ taggartinsurance. corn - INSURER 5 AFFORDING COVERAGE NAIC p INSURER A:HartfOrd Fire Insurance Cc 19682 INSURED Capstone, Inc. Capstone Planning 6 Controls, LLC 11001 W. 120th Avenue, Suite 220 Broomfield CO 80021 INSURERB:Hartford Casualty Insurance Co 29424 " INSURERC:Darwin Select Insurance Company 4319 INSURER D: INSURER E: IINSURERF, COVERAGES CERTIFICATE NUMBER:15.16 Master 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 ADDLSUEIR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR X 34SBAER2345 /3/2015 /3/2016 PREMISES(Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE It 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ 2,000,000 X POLICY PRO LOG LIABILITY COMBINEDSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ AANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4SBAER2345 /3/2015 /3/2016 POMOBILE BODILY INJURY Per accident ( ) $ NOOTOSWNED HIRED AUTOS N PROPERTY DAMAGE $ X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 A EXCESS LUIB CLAIMS -MADE LED X RETENTION$ 10,000 $ 4SBAER2345 /3/2015 /3/2016 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 34WECGL876B /1/2015 /1/2016 X I WCSTATU- OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E. L. DISEASE - EA EMPLOYEd It 1 000,000 If yerib s, describe under EL.DISEASE - POLICY LIMIT 1 $ 1.000.000 DESCRIPTION OF OPLRATIONS bolo C Errors 6 Omissions 3067192 6/2/2014 /2/2015 General Aggregate $2,000,000 Deductible: $25,o00 Each Occurrence $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Ranarks Schedule, if more space is required) City of Fort Collins is included as additional insured to the General Liability coverage as required by written contract. A 30 Day notice of cancellaton will be provided to the certificate holder. City of Fort Collins PO 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 Casey/KMG © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD