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201762 CLARION AND ASSOCIATES - INSURANCE CERTIFICATE
CLARASS-01 DVII ,d►CORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 09/20/2018 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 have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 INSURED Clarion Associates LLC 621 17th St #2250 Denver, CO 80293 Z, No, Ext): (970) 635-9400 I (X^C, No):(970) 635-9401 �e� RIF-q,. infoArny0sinsurance.com B:Pinnacol Assurance INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION Nt1MBFR: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Deductible $0 X BOP2630684 08/11/2018 08/11/2019 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES (Ea occ rre 300,000 $ X MED EXP (Anyoneperson) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ jP8 LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO BOP2630684 08/11/2018 08/11/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS X PROPERTY DAMAGE Per accident $ HIRED X NON-pWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE CXS2102792 08/11/2018 08/11/2019 DED I X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ O�FFICER/MEMBER EXCLUDED? (MandaforyinNH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4060755 07/01/2018 07/01/2019 X I STAT TE EERH E.L. EACH ACCIDENT 1,000,000 $ E.L.DISEASE _-EAEMPLOYEE E.L. DISEASE - POLICY LIMIT _ $ 1,000,000 1,000,UOU C Worker's Compensatio WC4633097-07 07/01/2018 07/01/2019 Other States NC 1,000,000 D Professional Errors H718112267 09/22/2018 09/22/2019 Prof Liability 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written agreement, City of Boulder and its elected officials and employees are included as additional insured for ongoing operations under general liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Boulder Community Planning 8 SUstainabilit THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y Y 9 Y ACCORDANCE WITH THE POLICY PROVISIONS. 1739 Broadway, 3rd Floor Boulder, CO 80302 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD