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HomeMy WebLinkAbout538741 NORCON OF NEW MEXICO - INSURANCE CERTIFICATENORCO-1 OP ID: WM Ro. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12121 /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 Cress Insurance Consultants 6101 Moon St. NE Suite 1000 Albuquerque, NM 87111 Roger Milbert ONT CT NAME: Wendy Milbrandt PHONE AIC No Ext : 505-822-8114 ac No): 505-822-0341 IL ADDRESS: wmilbrandt@cressinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: New Mexico Assurance Co INSURED Norcon of New Mexico LLC 8437 Washington Place NE Ste B Albuquerque, NM 87113 INSURERS: Advantage Workers INSURERC: INSURER D INSURER E : INSURER F : LIuVrmkAu CJ 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. LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER MWDD MMIDO LIMBS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ ATTo RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PJPRO- LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PRODUCTS - COMP/OP AGG $ MBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ B MBRELLA LIAB CESS LIAB OCCUR CLAIMS -MADE N/A 30444.116 - NM 3449714-CO 01/01/2019 01101/2019 01101/2020 01I01/2020 EACH OCCURRENCE $ AGGREGATE $ T TH- X STATUTE OR ED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE p4 OFFICERIMEMBEREXCLUDED'7 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. EACH ACCIDENT $ 1,000,0 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 EL DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Job: 18-077, Lincoln Center Theatre, 417 W. Magnolia St., Ft. Collins, CO 80521. Work Comp policy includes Blanket Waiver of Subrogation,if required by written contract. CERTIFICATE HULUEK MISCELI 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. 215 N. Mason St. 2nd Floor Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE V IJGV-LV IY I1\r v,♦v \.vr\r vr\r\ r rv... r... ..7............. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD