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HomeMy WebLinkAbout310503 ECONOMIC & PLANNING SYSTEMS - INSURANCE CERTIFICATE (3)DATE (MM/DDYVYY) ACOREP CERTIFICATE OF LIABILITY INSURANCE �i 3/14/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Andreini & Company -San Mateo PHONE FAX 220 West 20th Ave . 650-573-1111 tAtc, No): 650-378-4361 San Mateo CA 94403 ADIiREss: ktotten andreini.com INSURER(SLAFFORDINO COVERAGE NAIC # INSURED Economic & Planning Systems 400 Capitol Mall, 28th Floor Sacramento CA 95814 INSURERA: Federal Insurance Company 20281 ECONO-5 INSURERS: Re ublic Indemnit Co of Calif 43753 INSURERC: Continental Casualtv ComDanv 20443 COVERAGES CERTIFICATE NUMBERcd13F99Rd REVISIt)N 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 POLICY NUMBER MPOLICY DYYYY(MO'DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 35929623VVCE 4/1/2019 4/1/2020 EACH OCCURRENCE $1,000,000 (_._.._. j CLAIMS -MADE 1 X OCCUR 71'M-AGET6"FIE"NTED — PNJJSySF Curren a ----- $1,000,000 MED EXP�An oneparson� $10,000 -- —_ _ _ _.T PERSONAL & ADV INJURY $ excluded GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3.000,000 POLICY!._I JE C LOC _, PRODUCTS -COMP/OP AGG ! $ 3,0002000 _ X OTHER: Per Pro ect/Loc I i Per Pro N A $ 3,000,00o A AUTOMOBILE LIABILITY Y Y 7355874e 4/1/2019 4/1/2020 COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS I HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY I I X I BODILY INJURY (Per accident) �_� _ _VA0PERTYDAMAOE� � ��5.--"._-,__-___"- $ $ $ A UMBRELLA LIAB X OCCUR 79871994 4/1/2019 4/1/2020 1 EACH OCCURRENCE $1,000,000 $1,000,000 X EXCESS LIAB_Y CLAIMS -MADE AGGREGATE $ DED 1 X I RETENTION $ n e WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORrPARTNERiEXECUTIVE ❑ IOFFICERMEMBEREXCLUDED? N N/A Y 16150816 4/1/2019 4/1/2020 XER OIR TAT ER_ E.L. EACH ACCIDENT ---------- $1,000,000 --- $1,000,000 (Mandatory In NH) (Mandatory E.L. DISEASE • EA EMPLOYEE if yes. describe under DESCRIPTION OF OPERATIONS below - --- ---- -- — E.L. DISEASE POLICY LIMIT —'—""----"' $ 1,000,000 C I Errors & Omissions Adv/Personal Injury Retro111/63 Retention - $1 C,000 425343942 4/1/2019 411/2020 Per Claim Annual Aggregate 2,000,000 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached it more space is required) 30 days notice of cancellation except 10 days for non-payment of premium per policy provisions. EPS #: 183024 City of Fort Collins its officers, agents, and employees are additional insured on a primary and non-contributory basis with regard to General and Auto Liability and Waivers of Subrogation apply per attached policy provisions. 30 days notice of cancellation except 10 days for non-payment of premium per policy provisions. City of Fort Collins Attn: Jerri Groves Purchasing Dept. 215 North Mason Street Fort Collins CO 80524 USA 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 9 1205