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HomeMy WebLinkAbout105832 LISTENUP INC - INSURANCE CERTIFICATE (2)LISUPIPC Client#: 56603 ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 12/19/2018 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 CONTACT Lauren Valdes NAME: PHONE 720-622-9105 Fax A/C No Ext : A/C No): E-MAIL ADDRESS: Ivaldes holmesmurp hy com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Travelers Indemnity Co of America 25666 INSURED ListenUp, Inc. 5295 E. Evans Ave INSURER B : Travelers Indemnity Company 25658 Pinnacol Assurance Company INSURER C : p y 41190 INSURER D : Travelers Property Casualty Co. America 25674 Denver, CO 80222 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/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [I OCCUR X 680BL556972 9/30/2018 09/30/2019 EACH OCCURRENCE $1 000000 PREMISESOEa.. ence $300 OOO MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: n PRO - POLICY JECT X 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 BAW058444 9/30/2018 09/30/201 MINED$ Ea aacid.n,SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP9JO58561 9/30/2018 09/30/2019 EACH OCCURRENCE s7,000,000 AGGREGATE s7,000,000 DIED I X RETENTION $S OOO $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) yes, describe under nESCRIPTION OF OPFRATIONS haloes N / A 4065550 1/01/2019 01/01/202 X PTR OTH- uT ER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 A A Leased/Rented Eq. Installation Fit. 6808L556972 6808L556972 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. CI f Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City oTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Ft Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD 1fQAnA9R4IUAnd99R MA N\/1