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HomeMy WebLinkAbout342049 WIDNER & MICHOW LLP - INSURANCE CERTIFICATE (4).a oav® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDttYYY) 12/7/2014 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 ^r SAN ANTONIO TX 8265 CONTACT NAME' (ALN,aur (=.Na): (888) 443-6112 E- Ess: INSURER(S)AFFORDINGCOVERAGE HNCX INSURERA: Twin City lire Sn5 CO INSURED WIDNER & MICHOW LLP 13133 E ARAPAHOE RD STE 100 CENTENNIAL CO 80112 INSURER B: INSURER C: 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. 1NSR TYPE OE (A'SCRAA'CE ADD SUIT PoLJCYN(/,VRER PoLNCTFFP ,f PoLNCYEXP L(MIyS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR EACH OCCURRENCE 5 DAMAGE TO RENTED PREMISES (Ea occurrence) 5 MED EXP (Any one person) 5 PERSONAL B ADV INJURY 5 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PEC0. ❑ LOC OTHER GENERAL AGGREGATE 5 PRODUCTS-COMP/OP AGG 5 AUTOMOBILE LAMED ANY AUTO AUTOS OS S SCHEDULED AU HIREDAUTOS NONAUTO-01NNED AUTOS COMBINED SINGLE LIMIT (Eaealdeld) s BODILY INJURY (Per person) $ BODILY INJURY (Per amtlern)g PROPERTY DAMAGE (Peracddeld) 5 5 UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE 5 AGGREGATE 5 D RETENHONS 5 A N'OlI£fSCOWP SAMN A Pav LOIiJISLIaa2Il9 ANYPROPRIETOR/PARTNEMEXECUTIVEYM OFFICERUMEMBER EXCLUDED? (Illaedafory to NH) ❑ If yes. describe under DESCRIPTION OF OPERATIONS below wA 76 WEG NS3200 12/01/2014 12/01/2015 PER OTH- X STAME ER E.L. EACH ACCIDENT 100, 000 E.L. DISEASE -EA EMPLOYEE $100, 000 E.L. DISEASE -POLICY LIMIT 5500, 000 DESCRO71ON OF OPERATIONS /LOCATIONS/ VEHKIIMMRD 101, Additional Remarks Schedub, may be attached If mare sp.. is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU HORRED REPRESENTATIVE THE CITY OF FORT COLLINS PO BOX 580�� FORT COLLINS, CO 80522 u-litLr ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD