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HomeMy WebLinkAboutEGRESS INC - INSURANCE CERTIFICATE76/27/2019 (MM/DDiYYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE `„� r.�" 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. It 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 Sandra TDVar NAME,_... _ . Commercial Risk Solutions PHONE FAX 6600 E Hampden Ave Ste 200 - 303-996-7801 :303-757-7719 E-MAIL Denver CO AQDflESS: Stoyar�Crsdenver.Com _ INSURED Egress, Inc. Loralee Dischner 2963 W. 91st Place Denver CO 80260 INSURER A : Pinnacol Assurance 41190 EGRES-1 INSURER B: United Fire Group _ 13021 INSURER C : INSURER D . INSURER E : I COVERAGES CERTIFICATE NUMBER:1144A13431 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. ILT R TYPE OF INSURANCE D ,S BR POLICY EFF POLICY EXP LIMITS TR � POLICY NUMBER MM.'QD%YVYY MM YY B X COMMERCIAL GENERAL LIABILITY - 160494679 8/1/2019 8/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS -MADE '_X] OCCUR �DAMAG-ETOAENTI tb $100,000 PREMI,$�S.j occUrr��e) _ __ MED EXP (Arm one person), $ 5.000 -- — _ I PERSONAL 8 AD_V INJURY $ 1,000,000_ T �- EGENERAL GEN'L AGGREGATE LIMIT APPLIES PER: I AGGREGATE $ 2,000,000 POLICY JE a LOC PRODUCTS -COMP/OP AGG $ 2,000,000 u ---- — — $ OTHER: I B AUTOMOBILE LIABILITY 00494679 8M/2019 Sil /2020 COMBINED SINGLE LIMIT $ 1 000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident)$ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAOE $ $ B X UMBRELLA LIAB X OCCUR 60494679 8/112019 8/1/2020 EACH OCCURRENCE $1,000,000 AGGREGATE $110001000 EXCESS LIAB CLAIMS -MADE DED X RETENTION i $ A WORKERS COMPENSATION ILITY YIN AND OFC t°R,'MEMBER EXCLUDED? 'ANECUTIVE ❑ Y N / A 4106416 7/1/2019 7!1/2020 I P OTH- X T T TE E.L. EACH ACCIDENT DENT $ 500,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If es. describe under DESCRIPTION OF OPERATIONS below "-`- — E.L. DISEASE - POLICY LIMIT '--` $ 500,000 I I DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. rl City of Fort Collins 281 N. College Avenue Fort Collins CO 80522-0580 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 ' wsllwl © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 3 17572