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HomeMy WebLinkAbout457580 J F SATO & ASSOCIATES INC - INSURANCE CERTIFICATE (9)Client#: 1084594 JF5 ACORD.. CERTIFICATE OF LIABILITY INSURANCE 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: "a certificate holder is an ADDITIONAL INSURED, the policy(Iss( meat be endorsed. NSUBROGATXIN IS WAIVED, subject to Me terms and conditions of the policy, certain policies may require an endonemerd. A stelenNM on this eemfkete does not confer rights to tM certificate holder In lieu of such endomement(s). USI Colorado, LLC Prof Liab 1515 Wynkoop Street Suite 200 Denver, CO 80202 J. F. Sato S Associates, Inc. 5878 So. Rapp Street Littleton, CO 80120 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 CONTRACTOR 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. INEME,P00 TWE OF IXWMXCa UB Fg1CY NUYaep IVo YIFF Po MYlfa A aeNeeALLWIMYY X X 3456WPP2160 011311201501/311201 EACH OccDRpRENCE $1000000 X COMMENCIAL GENERAL Lwwm ply Mj ER[I E„Ortny s900000 CWMS#IADE OOCOUR MEDE%PIM au $10000 PENE0144sAUVERIURT $1000000 OENERALAM.PBOATE s2000000 OEMLAOOREMTE LIMITAPPIJES PER: ppCOUCI3-CIXAPIOPA03 E2000,000 POLICY X P LOL f AUTOMOBILE LMNLRY I Td= 0 un,AOID 90DILYINJURYIPs IW*r,) E ALL OWNID SCIIOOIID AUTOS AUTOS XIREDAVTOS AUTCER BO ILYINJURYIPxasawe E pA ER O,WAAE a s A X meass UAe X OCCUR X X 3489WPP2160 0111311=5011311201 EACH OCCURRENCE $6000000 AOOREpATE S3000000 men WB CWMS.MAD9 a o!D X PETENTQ"10000 WOpXMa COMPENSATION WCaTATU. OTN AND BIAPLOYFASLIABILITY ANY PROPNIETORNARTNERPOECOTNE YIN OFFICERAIEMBERE%CLUDEOi XIA E.4 FAfM ACGOBNT s EL WSFAR6-EA.EMPLOYEE E IYYgFWry1n XN1 DESCRIPTION OF OPEMTIONSENnx E.L. DISEASE - POLICY LIMIT E IS Professlonel DPRO714819 7/UM% 07/18/201 $1,000,000 per Claim Liability $2,000,000 arml aggr• Claims Made DESCRIPTON OF OPEIMTIONS I LOCATIONS I VEHICLES(AXwA A001101(I1 Asfftl al Reme,ke eceeduln. Xmon .P.Itt u.d) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder is Included as Automatic Additional Insured's for your work, acts or omissions which includes completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insureds work performed on behalf of the (See Attached Descriptions) City of Fort Collins, Purchasing PO Box 580 Fort Collins, CO 80522-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) 1 Df 2 The ACORD name and logo are reglstered marks of ACORD #S14317940IM14317898 BKSBC DESCRIPTIONS (Continued from Page 1) certificate holder and owner. This Insurance policies will apply on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella Liability. The Umbrella I Liability policy provides excess coverage war the General Liability, Automobile Liability and Employers Liability Additional Insured: City of Fort Collins FY_Trks f V4*VPIGIJDMI #514317940IM14317898