HomeMy WebLinkAboutNTHERM LLC - INSURANCE CERTIFICATE----I ®
A o?o CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYYY)
11/21/2018
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).
PRODUCER
Taggart and Associates, Inc
1680 38th Street, Suite 110
P. O. BOX 147
Boulder CO 80306
CONTACT
NAME: Fran Buschkoetter
A/c No xt: (303)442-1484 qC No; 13031o42-esu
-MAILADDRESS: fbuschkoetter@taggartinsurance.com
E-MAIL-ADDRESS,
INSURERS AFFORDING COVERAGE
NAIC 0
INSURERA:The Cincinnati Specialty Underwriters 1
13037
INSURED
nTherm, LLC
1430 Larimer St
Ste. 302
Denver CO 80202
INSURER B :
INSURER C :
INSURER D:
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:18/19 master 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 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.
ILTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMfDDNYYY
POLICY EXP
MMIDD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE � OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 100,000
MED EXP(Any one person)
$ 1,000
X
CSU0107495
11/24/2018
11/24/2019
PERSONAL BADV INJURY
$ 1,000,000
GENIAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OPAGG
$ 2,000,000
POLICY PRO- LOC
X JECT
Hired/Non Owned Auto Ilabiny
$ 1,000,000
OTHER
AUTOMOBILE LIABILITY(Ea
COMBIND
a ccclldentSINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
A
ANYAUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X X NON -OWNED
HIREDAUTOS AUTOS
X
CSU0107495
11/24 /2018
11 /24 /2019
BODILY INJURY (Per accident)
$
PROPERTY
den DAMAGE
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAB
DED I I RETENTION $
$
WORKERS COMPENSATION
PER OT H-
STATUTE ER
EL. EACH ACCIDENT
$
AND EMPLOYERS' LIABILITY
PROPRF�TORIPARTNER/EXECUTIVE Y / N
E.L. DISEASE - EA EMPLOYEE
,ANY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
$
E.L. DISEASE - POLICY LIMIT
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
City of Fort Collins, its officers, agents and employees are included as additional insured with respect
to General Liability and Auto Liability as required by written contract.
r Mo CIrArm unl ncD CANCELLATION
City of Fort Collins
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
n Buschkoetter/FAB
14 ACORD
(RATION. All rights rese
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025 (201401)