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HomeMy WebLinkAbout167490 PEAD AUDIO VISUAL LLC DBA SCOTT BESTICK - INSURANCE CERTIFICATEPEAKAUD-01 HPAYNE i4CaR© CERTIFICATE OF LIABILITY INSURANCE (✓- DATE(M 5/30/201YYY) 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: Carver and Associates Insurance Services, Inc. 17710 Ralston Road Arvada, CO 80002 PHONE FAX (A/C, No, Ext): (303) 420-1637 (A/C, No):(303) 431-9237 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers 36161 INSURED INSURER B : Peak Audio Visual, LLC dba Scott Bestick INSURER C: 700 West Mississippi Ave, Bldg INSURER D: INSURER E: Denver, CO 80223 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 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 680654OB135 2/18/2019 2/18/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Fa occurrence 300,000 S MED EXF (Any one person S 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X JET ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED- - -- - AUTOS ONLY AUTOS - BODILY INJURY Per accident $ PROPERTY DAMAGE Per acC dent $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ A X UMBRELLA LAB OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE S EXCESS LAB CLAIMS -MADE CUP0576T235 2/18/2019 2/18/2020 DED X RETENTION $ 5,000 $ 4,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) I. yes, descriLe order N / A E.L. EACH ACCIDENT $ E L DISEASE - EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S A BOP Liability 680654OB135 2/18/2019 2/18/2020 Hired and non -owned 1,000,000 I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Projects of the insured - City of Fort Collins Is additional insured if required by written contract. [y3CalliChL\��iC�lA�la SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Purchasing and Risk Management THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y g g ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD