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HomeMy WebLinkAbout127605 SKUMATZ ECONOMIC RESEARCH ASSOCIATES INC - INSURANCE CERTIFICATE (4)�,,, - CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/11 /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 be endorsed. If SUBROGATIONIS 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 TAGGART & ASSOCIATES, INC/PHS 34342321 CONTACT NAME: PHONE (866)467-8730 (A/C, No, Ext): FAX (888)413-6112 The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd San Antonio, TX 78265 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICit INSURED INSURERA: The Hartford Casualty Insurance Company 29424 SKUMATZ ECONOMIC RESEARCH ASSOCIATES, INC. INSURER B : The Twin City Fire Insurance Company 29459 762 ELDORADO DR STE 100 INSURER C : SUPERIOR ,CO 80027-8287 INSURERD: INSURER E : 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMlDD/YYYY MMlDD/Y YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 OCCUR DAMAGE TO RENTED $300,000 CLAIMS -MADE 1XI PREMISES Ea occurrence) MED EXP (Any one person) $10,000 X General Liability A 34 SBA PA5100 03/12/2019 03/12/2020 PERSONAL & ADV INJURY $2,000,000 GENT AGGREGATE LIMIT APPLIES PER., GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG $4,000,000 POLICY ❑ PRO LOC JECT OTHER: COMBINED SINGLE LIMIT $2 000,000 AUTOMOBILE LIABILITY Ea accident BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accident) A ALL OWNED SCHEDULED 34 SBA PA5100 03/12/2019 03/12/2020 AUTOS AUTOS HIRED NON -OWNED PROPERTY DAMAGE X AUTOS X AUTOS (Per accident) OCCUR EACH OCCURRENCE UMBRELLA LAB AGGREGATE EXCESS LIAB CLAIMS- MADE ED I RETENTION $ WORKERS COMPENSATION PER X 1.OTH- AND EMPLOYERS' LIABILITY STATUTE ER_ E.L. EACH ACCIDENT $1,000,000 ANY YIN B PROPRIETOPJPARTNERIFXECUTIVE NIA 34 WEC GM5199 03/12/2019 03/12/2020 E.L. DISEASE EA EMPLOYEE $1,000,000 OFFICERIMEMBER EXCLUDED? E.L. DISEASE -POLICY LIMIT $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Each Claim Limit $5,000 A EMPLOYMENT PRACTICES 34 SBA PA5100 03/12/2019 03/12/2020 $5,000 LIABILITY Aggregate Limit DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. r`corimir`Arc unl nco CONCFL I ATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Attn: James B. O'Neill BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED PO Box 580 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 �ued�7 � L �Lti-�1tiGz'st� O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD cV