HomeMy WebLinkAbout319162 KRFC PUBLIC RADIO STATION - INSURANCE CERTIFICATE (3),4coizo® CERTIFICATE OF LIABILITY INSURANCE
12 6/201)4
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 poliry(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 endomement(s).
PRODUCER
INS NOODLE INC/WILLIS RETAIL/PHS
554080 P: F:(888) 443-6112
PO BOX 29611
CHARLOTTE NC 28229
CONNCT
NAME:
(AC, o.EMr
FAR
(888) 443-6112
E-MAIL
ESS
INSURER(S) AFFORDING COVERAGE NAICe
INSURERA: Hartford Casualty Ins Co
WSURED
KRFC PUBLIC RADIO STATION
619 S COLLEGE AVE STE 4
FORT COLLINS CO 80524
INSURER D:
INSURER C:
INSURER D:
INSURER E:
INSURER F
CVV1= L bES CERTIFICATE NUMRFR- oruicinm miunCD•
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.
WSR
TYPEOFLYSURANCE
ADD
SUD
POLRC AN1)fER
FOLICYEFF
D tIT
POLICY EAP
Lffn
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
General Liab
83 SBA IL0735
01/01/2015
01/01/2016
EACH OCCURRENCE
$1, 000, 000
DAItGE To REND
P M"ES E.owunence)
s300, O00
X
X
MED EXP(My one Person)
s10, OOO
PERSONAL& ADV INJURY
s1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY JE T ❑X LOC
OTHER:
GENERALAGGREGATE
s2, 000, 000
PRODUCTS -COMP/OPAGG
52, 000,000
$
A
AUTOMOSILELIABILRY
ANY AUTO
ALLOWNED SCHEDULED
AUTOS AUTOS
HIREDAUTOS X NON -OWNED
AUTOS
83 SBA IL0735
01/01/2015
01/01/2016
COMBINED SINGLE LIMIT
(Ea a¢iderd)
51, OOO, OOO
BODILY INJURY (Per person)
S
BODILY INJURY Per accident
( )
5
X
PROPERTY DAMAGE
(Per accident)
$
S
UMBRELLA LMB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
g
AGGREGATE
y
OE
RETENTIONS
5
un(LFJSCprpE,vswnav
.LVDEbP(OTEXSLLiaD.IIP
ANY PROPRIETOR/PARTNER/EXECUTIVEY'M
OFFICER/MEMBER EXCLUDED?
(AN,Mebryin NH)
❑
If yes, describe under
DESCRIPTION OF OPERATIONS below
wA
PER OTH-
STAME ER
E.L. EACH ACCIDENT
s
E.L. DISEASE -EA EMPLOYEE
s
E.L. DISEASE - POLICY LIMIT
$
DESCRIPRONOFOPERATIONS/LOCATIONS/VEHIQ®RD 101.A ftjonal Ramada Schedule, mey be attached Bmom apace is requirod)
Those usual to the Insured's Operations Certificate Holder is an Additional
Insured per the Business Liability Coverage Form S30008 attached to this
policy
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
THE CITY OF FORT COLLINS, COLORADO AUTHORIZED REPRESENTATIVE
N MASON FORT
� 7�
FORT COLLINS, CO 80524 / cc-l�t
resery
N�wmu LO tLV 14/V IJ 1 ne ACUKU name and logo are registered marks of ACORD