HomeMy WebLinkAbout582379 RESEARCH INTO ACTION INC - INSURANCE CERTIFICATEIDATE (MWDD!YYYY)
CERTIFICATE OF LIABILITY INSURANCE ; 08i25/2018
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 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)-
PRODUCER
CONTACT
NAME:
NUTMEG INS AGENCY INC/50 PLUS/PHS
76250866
PHONE ggg 925-3137 FAX , Na : 888 443 6112
E-MAIL
THE HARTFORD BUSINESS SERVICE
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAICS
CENTER
3600 WISEMAN BLVD
INSURER A: Hartford Fire and Its P&C Affiliates
00914
SAN ANTONIO, TX 78265
INSURED
INSURER B =
RESEARCH INTO ACTION INC-
INSURERC:
PO BOX 12312
INSURER D :
PORTLAND OR 97212-0312
INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER- RFVISION NIIMRFR-
THIS IS TO CERTIFY 1HAf 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.
1
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBB
WVD
POLICY NUMBER
POLICY EFF
(MMDDry
POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑ OCCUR
EACH OCCURRENCE
DAMAGE 1-0 RENTED
iFa I--
MED EXP (Any one person)
- --
PGEIL
PERSONAL & ADV INJURY
AGGREGATE LIMIT APPLIES PER:
POLICY 1 { PRO ❑ LOC
L� JECT
OTHER:
GENERAL AGGREGATE
PRODUCTS COMPIOP AGG
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AIITOR AIITM
HIRED AUTOS NON -OWNED
AUTOS
COMBINED SINGLE LIMIT
r d
80DILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
UMBRELLA L1AB
IXCESSLIAB
OCCUR
CLAfMS-MADE
EACH OCCURRENCE
AGGREGATE
--
DED I RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YIN
ANY PROPRIET'ORiPARTNER/EXECUTIVE
OFFICER/MEMBFR EXCLUDED?
(Mandatory in NH)
It yes, describe under
NA
76 WBG ZR55904
09/23/2018
09/23/2019
STATUTE R
E.L. EACH ACCIDENT
$1 000,000
E.LDISEASE -EA EMPLOYEE
.$1,O®®,Q®®
E.L. DISEASE -POLICY LIMIT
$1 ,(]00,00
DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
1 Those usual to the Insureds Operations.
I
CERTIFICATE HOLDER CANCFI 1 ATION
FORT COLLINS UTILITIES
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
215 N MASON ST # 2ND FLOOR
FORT COLLINS CO 80524
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
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