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HomeMy WebLinkAbout127605 SKUMATZ ECONOMIC RESEARCH ASSOCIATES INC - INSURANCE CERTIFICATE (3)AcoRa CERTIFICATE OF LIABILITY INSURANCE
2/28/2015'
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).
-
PRDouce
TAGGART & ASSOCIATES, INC/PHS
342321 P: F:
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME:
NAME
PHONE
(A/C. No. Exq:
A
E-ML
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAICe
INSURERA: Hartford Casualty Ins Co
msURm
SKUMATZ ECONOMIC RESEARCH ASSOCIATES,
INC.
762 ELDORADO DR STE 100
SUPERIOR CO 80027
INSURER B: Twin City Fire Ins Co
INSURER C:
INSURER D:
INSURER E:
INSURER F'
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.
RVSR
TTPEOFEVSURANCE
ADDI
SUB
POLICY
PoLICYEFF
POLICYEXPLTA
m
COMMERCIAL GENERAL UABILRY
EACH OCCURRENCE
s2,000,000
CLAIMS -MADE OCCUR
PREEMISESO(Ea �Tur ence
S 3 0 0, 0 0 0
X
X
MED EXP(Any one parson)
$10, 000
A
General Liab
34 SBA PA5100
03/12/2015
03/12/2016
PERSONAL B ADV INJURY
52, 000, 000
GEWL
GENERAL AGGREGATE
s4,000,000
AGGREGATE LIMIT APPLIES PER
POLICY JECT LOC
PRO-54,
PRODUCTS AGG
000, 000
OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea aooldent)
52, 000, 000
BODILY INJURY (Per person)
$
A
ANY AUTO
SCHEDULED
A LL OWNED AUTOS
34 SBA PA5100
03/12/2015
03/12/2016
BODILY INJURY (Per =!dent)
$
HIRED AUTOS X NON -OWNED
AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
S
UMBRELLA LU1B
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LUIB
CLAIMS -MADE
RETENTION E
S
B
W011LIJFCygppry6ATlON
ANDENPLOTFJFLGLBl1Y
ANY PROPRIETORIPARTNERIEXECUTIVEYIN
OFFICER/MEMBER EXCLUDED?
�ande/orY/n Al ❑
WA
34 WEC GM5199
03/12/2015
03/12/2016
PER GTN
X 3TAME ER
E.L. EACH ACCIDENT
$11000,000
E.L. DISEASE -EA EMPLOYEE
Sl, 000, 000
N yes. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
11,000,000
-1
�tl
DESCRPTTON oFoPERATIONS 1 LocAnow / VETHC*mRD 701, Additional Remarks Sehadul% may be attached N mom spaeo Is required)
Those usual to the Insured's Operations.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
City of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: James B . O'Neill AUTHORIZED REPRESENTATIVE
PO Box 580
Fort Collins,li CO 80522
ed.
I�v IYIV 31 1 ne Ptwrcv name and Togo are registered marks of ACORD