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HomeMy WebLinkAbout201762 CLARION AND ASSOCIATES - INSURANCE CERTIFICATE (2)C LARASS-01 DVI I L ACORO CERTIFICATE OF LIABILITY INSURANCE DATE Y 08 9/20I2018 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 CONTACT NAME: PFS Insurance Group PHONE FAX 4848 Thompson Parkway Suite 200 (A/c, No, Et): (970) 635-9400 (A/C, No):(970) 635-9401 Johnstown, CO 80534 n MAILS : info@mypfsinsurance.com INSURED Clarion Associates LLC 621 17th St #2250 Denver, CO 80293 B:Pinnacol RERF: io 125127 n0VFRAnFR r:FRTIFIr'ATF NI IMRFR• RF\/ICIr1N NI IMRGR• 16535 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 EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE C. OCCUR BOP2630684 08/11/2018 08/11/2019 EACH OCCURRENCE $ 2,000,000 RMAGTO RENTED n _ _ $ 300,000 X MED EXP (Any onePerson) $ 5,000 Deductible $0 PERSONAL& ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- X POLICY JECT LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS -COMP/OP AGG $ 4,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accide 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO BOP2630684 08/11/2018 08/11/2019 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 4 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE CXS2102792 08/11/2018 08/11/2019 DEED I X I RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N AANY NFICER MEIMBOER/EXCLUDED? ECUTIVE ❑ (Mandatory inNH) N/A 4060755 07/01/2018 07/01/2019 X I PERTUTE OTH- IER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT 1,000,000 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 contract, the City of Fort Collins, its officers, agents and employees are included as Additional Insured for ongoing operations under General Liability. City of Fort Collins City's Purchasing Director P.O. 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD