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HomeMy WebLinkAboutRESOURCE CENTRAL - INSURANCE CERTIFICATEBOULD-4 OP ID: CT AC�RD DATE (MM/DD/(YYY) CERTIFICATE OF LIABILITY INSURANCE 09/28/2018 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 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). CNTACT PRODUCER Phone: 970-223-1804 NAME: Front Range Insurance Group .PHOE — FAX N 2002 Caribou Drive, Ste. 101 Fax: AC,No Ext : ac No): Fort Collins, CO 80525 E-MAIL Steven G. Smith ADDRESS: INSURED Resource Central Jen Scroggins 2639 Spruce Street Boulder, CO 80302 _ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:CSU Producer Resources Inc 13037 INSURER B: Cincinnati Insurance Companies 10677 INSURER C: Pinnacol Assurance 41190 INSURERD: INSURER E : COVERAGES CERTIFICATE NUMBER: RFVISION NIIMRFR- 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. ILTRR PUBR TYPE OF INSURANCE L POLICY NUMBER EFF MM/LDD/YYYYY MMIDD/riYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE 1XI OCCUR CS00072159 10/01/2018 10/01/2019 uA AuA PREMISES Ea occ rrence $ 100,00 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: 1-1 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO X EPP0336347 10/01/2018 10/01/2019 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON-OWNED HIRED AUTOS EAUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 B X ',, EXCESS LIAB CLAIMS -MADE X EPP0336347 10/01/2018 10/01/2019 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PROPRIETOR/PARTNER/EXECUTIVE Y / N CS OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) NIA 3305579 10/01/2018 10/01/2019 X WC STATU- OTH- T RY LIMIT ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000 B Property EPP0336347 10/01/2018 10/01/2019 BPP 224,998 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The insurance evidenced by this certificate will not reduce coverage or limits and will not be cancelled, except after 30 days written notice has been received by the City of Fort Collins. l..tK I It -ILA I t_ MULUtK l ANL rLLA I IUN CITY-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD