HomeMy WebLinkAbout538741 NORCON OF NEW MEXICO - INSURANCE CERTIFICATENORCO-1 OP ID: WM
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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
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ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD