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HomeMy WebLinkAbout193498 E-CUBE INC - INSURANCE CERTIFICATEClient#: 98325 NEDEREF ACORDTM CERTIFICATE OF LIABILITY INSURANCE D8/30/TE /2018YYY) /30/ 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 any rights to the certificate holder in lieu of such endorsement(s). NTACT PRODUCER ME: NAME: Laura Weeks CBIZ Insurance Services, Inc. PHONE 816-945-5589 F°X A/C No Ext : AIC No 700 West 47th Street, Suite 1100 ADDRESS: (weeks@cbiz.com Kansas City, MO 64112 816 945-5500 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Nederland Refrigeration, Air Conditioni ng Sr Heating Corp., dba E-Cube Inc. 1720 Topaz Dr. Loveland, CO 80537 INSURERA: Hartford Casualty Insurance Co 29424 INSURER B : Hartford Insurance Co. of the Midwest 37478 INSURER C : Travelers Casualty & Surety Co. of Am. 31194 INSURER D : Hartford Underwriters 30104 INSURER E : INSURER F : 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. LTR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MM/DDY EFF MM/DDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 ^I OCCUR 37SBAPK5611 9/09/2018 0910912019 $2 000,000 pEACH�OECCURRENCE PREMISETO EaEoccccurrrence $50 000 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT CI LOC OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG I $4,000,000 Is D AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AHIRED UTOS ONLY X NON -OWNED AUTOS ONLY 37UECKD3233 9/09120 /9081 091201 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB IV OCCUR CLAIMS -MADE 37SBAPK5611 9/09/2018 09/09/2019 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000,000 DED X1 RETENTION $10 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 37WBCBZ3056 9/09/2018' 09/09/201 X ER STATUTE EORT E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liab 105493136 9/09/2018 09/09/201 $2,000,000 Each Claim/ $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 598's City of Fort Collins. City of Fort Collins is an additional insured with regard to General Liability and Automobile liability, if required by written agreement, per forms SS000080405 and HA99160312. City of Fort Collins 215 N Mason Street, 2nd Floor Ft. 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 CBIZ Insurance Services, Inc. ACORD 25 (2016/03) 1 of 1 #S1909849/M1906489 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OPMR