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HomeMy WebLinkAbout319162 KRFC PUBLIC RADIO STATION - INSURANCE CERTIFICATE (6)Ate'' CERTIFICATE OF LIABILITY INSURANCE TE DA12/12/2018Y) 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 INSURANCE NOODLE LLC/PHS NAME: 83554080 THE HARTFORD BUSINESS SERVICE CENTER 3600 WISEMAN BLVD SAN ANTON IO, TX 78265 (A/C,No, Ext): (866) 467-8730 FAX A o, No): (888) 443-6112 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURER A: The Hartford Casualty Insurance 29424 KRFC PUBLIC RADIO STATION Company 619 S COLLEGE AVE STE 4 INSURER B: FORT COLLINS CO 80524-3068 INSURER C : INSURER D : INSURER E : '.. INSURERF: -- 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 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. INSR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDiYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 000 00 CLAIMS -MADE aOCCUR DAMAGE TO RENTED $300,00 X X MED EXP (Any one person) $10,00 General Liability A 83 SBA IL0735 01/01/2018 01/01/2019 PERSONAL 8, ADV INJURY 1 AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT ❑X LOC GENERAL AGGREGATE $2,000,00 GEN'L PRODUCTS - COMPiOP AGG $2,000,00 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1,000,00 ANY AUTO BODILY INJURY (Per person) A ALL OWNED SCHEDULED AUTOS AUTOS 83 SBA IL0735 01/01/2018 01/01/2019 BODILY INJURY (Per accident) NON -OWNED X HIRED AUTOS Ix AUTOS PROPERTY DAMAGE (Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N/A E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A EMPLOYMENT PRACTICES LIABILITY 83 SBA IL0735 01/01/2018 01/01/2019 Each Claim Limit Aggregate Limit $5,00 $5,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy CERTIFICATE HOLDER CANCFt LOTION THE CITY OF FORT COLLINS, COLORADO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 N MASON ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FORT COLLINS CO 80524-4402 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 0 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD