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HomeMy WebLinkAbout524235 MONARCH MEDIA INC - INSURANCE CERTIFICATE (2),4c Ro o® CERTIFICATE OF LIABILITY INSURANCE DATE (hLNmD/YYYY) 1/17/2015 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 AUTOMATIC DATA PROCESSING INS AGCY 2X510 717 P : F : i PO BOX 33015 SAN ANTONIO TX 78265 coNrAcr NAME' PHONE (MC, Na, Edy EA% n0 RDESS'. INSURERS) AFFORDING COVERAGE NAICN INSURERA: Multiple Companies INSURE) MONARCH MEDIA, INC. 406 MISSION ST STE S SANTA CRUZ CA 95060 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. LVSR ITRM/DMYI, TYPE OF EYSIIRANCE ADD iUR POLICYNI/ALRER POLICYEFF POLIffEXP LATHS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 CLAIMS DE ❑OCCUR DA�PREMISETO S PREMISES R NTED nce) 5 MED EXP (Any one person) 5 PERSONAL S ADV INJURY 5 GEN'L AGGREGATE OMIT APPLIES PER POLICY PR0. ❑ LOC JECT GENERALAGGREGATE y PRODUCTS-COMP/OP AGG 5 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea aOud.nn) 5 BODILY INJURY (Per Person) s ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON-0 NED AUTOS BODILY INJURY (Per accident) y PROPERTY DAMAGE (Per acaderd) 1 5 UMBRELLA UAB OCCUR EACH OCCURRENCE y EXCESS LIAB CLAIMS -MADE AGGREGATE $ OE REfENr10N5 WOBd£85C0}PENSATION A,VD CMKOYEHSLL,aIIl7I ANY PROPRIETOR/PARTNER/E(ECUTIVEY/N X PEROTH- TTANTE ER E.L. EACH ACCIDENT $1, 000, 000 A OFFICERIMEMBER EXCLUDED? (Marobeew in NN) ❑ WA 76 WEG DW7105 01/30/2015 01/30/2016 E.L. DISEASE -EA EMPLOYEE 01, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT s1, 000, 000 DESCRO'RONOFOPERATIONS/LOCATIONSI VER IPMR 101, Additional Remarks Scheduy may be attached If more space is required) Those usual to the Insured's Operations. Certificate Holder is an Additional Insured per the Business Liability Coverage Form S30008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Fort Collins, Colorado BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ` Attn: David Carey PO BOX 580 FORT COLLINS,I CO 80522 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD