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HomeMy WebLinkAbout105832 LISTENUP INC - INSURANCE CERTIFICATEClient#: 56603
LISUPIPC
ACORD- CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
9E(MM/DDN
/28/2018
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Holmes Murphy - Colorado
7600 East Orchard Road, Suite 330 South
Greenwood Village, CO 80111
CONTNAME: Lauren Valdes
PHONE 720-622-9105 FAX
A/C No Ext : A/C, No :
E-MAIL ADDRESS: Ivaldes@ rpy•holmesmu h com
INSURER(S) AFFORDING COVERAGE
NAIC#
INSURER A: Travelers Indemnity Co of America
25666
INSURED
ListenUp, Inc.
5295 E. Evans Ave
Denver, CO 80222
INSURER B : Travelers Indemnity Company
25658
INSURER C :Zurich American Insurance Company
16535
rs
INSURER D ;TraveleProperty Casualty Co. America
25674
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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUB
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
W MM/DD/YY
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
X
68081-556972
9/30/2018
09/30/2019
EACH OCCURRENCE
$1 000000
PREMISES Ea oN.T ence
$300 000
MED EXP (Any one person)
s5,000
PERSONAL& ADV INJURY
$1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY JECT X I LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
D
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY(Par..
BA9JO58444
9/30/2018
09/30/201
COEaMBINED SINGLE LIMIT
accident
$ 1r 00O 000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
B
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
CUP9J058561
9/30/2018
09130/2019
EACH OCCURRENCE
s7,0001000
AGGREGATE
s7,000,000
DIED I X RETENTION $5 000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N
OFFICER/MEMBER EXCLUDED? �
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
WC105856900
2/24/2018
01/01/201
X PER OTH-
E.L. EACH ACCIDENT
$1 00O 000
$1 000 000
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE -POLICY LIMIT
$1,000,000
A
A
Leased/Rented Eq.
Installation Fit.
68081_556972
68081_556972
9/30/2018
9/30/2018
09/30/201
09/30/201
$50,000; $1,000 Ded
$100,000; $500 Ded
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto
Liability.
City f Ft CollinsHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ty oorns THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS.
Ft Collins, CO 80522-0000
AUTHORIZED /j_
REPRESENTATIVE
�EP R�ESEE NTATI V E
// �
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