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HomeMy WebLinkAbout580920 LAMP RYNEARSON & ASSOCIATES - INSURANCE CERTIFICATEAIR' D® DATE (M M /DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/30/2018 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 CONTACT NAME:_ - The Harry A. Koch Co. PHONE 402 861-7000 ia/c, Nor _ P.O. Box 45279 (A(C Nc- E _ Omaha NE 68145-0279 ADDRESS: INSURE S AFFORDING COVERAGE _ NAIC p INSURER A: XL Speciafty Insurance Co 37885 INSURED INSURERB: The Phoenix Insurance Go _ _ 25623 Lamp Rynearson & Associates, Inc. 4715 Innovation Drive INSURER c:Travelers Property Casualty of America 25674 Suite 100 INSURER D: Charter Oak Fire Insurance Co. 25615 Fort Collins CO 80525 1 INSURERE: Travelers Indemnity Company 25658 INSURER F (tr)VFRAr_FS rFRTIPIrATF NI IMRFR• 1RARRAR7AA RFVISInN NI IMRFR- 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. 1NSIR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER EFF MM/LDDY/YYYY POLICY MIDD/YYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY 66021-971185 9/30/2018 9/30/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE a OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP Any one person) $10,000 PERSONAL &ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 POLICY I X J PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 _ $ OTHER: D AUTOMOBILE LIABILITY 81021.974010 9/302018 9/30/2019 COMBINED SINGLELIMI Ea accident) $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ C X UMBRELLA LAB X OCCUR CUPP3L015816 9/302ols 9/302019 EACHOCCURRENCE $5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION $ 1 opon 1 $ I 1 E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE U021_97238A 9/302018 9/302019 X STATUTE ERPER H E.L. EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUI 7 NIA (Mandatoryin NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 Ifns describe under D SCRIPTION OF OPERATIONS below A Architects/Engineers OPR9917981 9/302018 9/302019 $5,000,000 Ea.Claim Professional Liability $5,000,000 Aggregate Claims Made Basis ' I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins is additional insured for auto liability and general liability if required by written contract executed prior to loss. CERTIFICATE HOLDER CANCELER I IUN The City of Fort Collins Purchasing Department 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD