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HomeMy WebLinkAboutPROPERTYROOM.COM - INSURANCE CERTIFICATE (2)Client#: 1432653 PROROOM ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 4/23/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: T Richard Scroggs USI Insurance Services LLC PHONE 703 698-0788FAX A/C No Ext: A/C No 610 362-8377 3190 Fairview Park Drive Suite 400 E-MAIL Falls Church, VA 22042-4546 ADDRESS: 703 698-0788 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: AM Specta ty Insurance Company 12833 INSURED INSURER B : Evanston Insurance Company 35378 PropertyRoom.com, Inc.4650 INSURER C:TrevelareCasualry6SureryCo. ofAmer 31194 Wedgewood Blvd. INSURER D:Lloyd. ofLondon 85202 Suite Suit INSURER E : A.GUARD Insurance Co. 42390 Frederick, MD 21704 INSURER F ; Hartford Fin Insurance Co 19682 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. IN LTR TYPE OF INSURANCE ADDLSUBRY NSR WVD POLICY NUMBER EFF MMIDD MM/ DY/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Dx OCCUR BI/PDDed:1,000 X X IPZCLOO210211 04/25/2019'04/02/2020 EACH OCCURRENCE $1,000,000 .PREMISES ERENTED occcurrence $ SO,000 X MED EXP (Any one person) $5000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT LOC OTHER: GENERAL AGGREGATE $2,000,000 x PRODUCTS - COMP/OP AGG $ $ E AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY x x PRAU942496 4/25/2019 04/25/2020 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B _ - X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE MKLV7EUL100735 4/2512019 04/02/2020 EACH OCCURRENCE $5 000 000 AGGREGATE $5 00O 000 DED RETENTION $ PER OTH- STA LITE ER $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A _ _ _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ -- E.L. DISEASE - POLICY LIMIT I $ C D F Crime Internet/Cyb Dealers/Bailee I 142UUMBH2157 105943928 CR164497 4/02/20191 04/02/202 4/0212019104/02/202 4/02/2019 04/02/202 $2,000,000 per claim $3,000,000 per claim $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins, its officers, agents and employees are named additional insured. 1�11=11 I trl%,A I r MUL.Ur-11 UANUhLL.A IIUN City of Fort Collins 215 North Mason Street Fort Collins, CO 80522-0000 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 ACORD 25 (2016/03) 1 of 1 #S25515922/M25497422 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PVRZP