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HomeMy WebLinkAbout275829 BONNIE ROERIG & ASSOCIATES - INSURANCE CERTIFICATEBONNROE OP ID:SH '414 �R� CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDYYYY) 04/16/2015 THIS CERTIFICATE IS 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 SUBROGATION IS 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 endorsements . PRODUCER Jewell Insurance Associates E. Orchard Road, Ste 5500 Greenwood Village, CO 80111 David P. Jewell, C.I.C. CONTACT NAME: Shannon McEwen PHONI 303-740-8101 -496-19498480 Exit: E-MnI aless: shannonm@jewellins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:Safeco Insurance Company INSURED Bonnie Roerig 8r Associates LLC 1873 S. Bellaire St #1222 Denver, CO 80222 INSURER B: Owners Insurance Company 32700 INsuRERc: Plnnacol Assurance INSURER D : INSURER E : INSURER F : Cr1VFRAn FR CFRTIFICATF NI IMRFR• DctnclnM aN uaDOD. 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. ILTR NSR TYPE OF INSURANCE ADDL U POLICY NUMBER MM/DD/YYYY MM DYIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X] OCCUR X 02BP8120244 05/13/2015 05/13/2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1,000,00 MEO EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 X PRODUCTS - COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS X AUTOS X 4807629700 07/27/2014 07/27/2015 COMBINED SINGLE LIMIT Ea accident)+ $ 1,000,000 BODILY INJURY (Per person) $ X (Per accident) ) BODILY INJURY d $ X PROPERTY D Per accidentAMAGE $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 1412252 09/01/2014 09/01/2015 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 EL DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Fort Collins is included as Additional Insured under the General Liability and Automobile Liability. Ism CFORTCI City of Fort Collins Purchasing Division 215 N Mason St 2nd Floor PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD