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HomeMy WebLinkAboutRAY VIGER SERVICES - INSURANCE CERTIFICATEACD LJ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/25/2019 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 ALL ACCESS INSURANCE LLC/PHS 34344420 CONTACT NAME, PHONE (866) 467-8730 (A/C, No, Ext): No). (888) 443-6112 The Hartford Business Service Center EMAIL 3600 Wiseman Blvd San Antonio, TX 78265 ADDRESS INSURER(S) AFFORDING COVERAGE NAIC? INSURED INSURERA: Twin City Fire Insurance Company 29459 RAY VIGER SERVICES INSURERS: Hartford Accident and Indemnity Company 22357 2881 S BROADWAY INSURERC: ENGLEWOOD CO 80113-1524 INSURER D INSU RER E : INSURER F : rn.rcoa r_cc rrDTlrIr ATF MInM FtrD- RFVISION 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. INS LTR I TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/Y YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1.000,000 CLAIMS -MADE a OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1.000,000 X General Liability MEO EXP (Any one Person) $10,000 A 34 SBA IJ1074 08/23/2019 08/23/2020 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000.000 PRODUCTS-COMP/OP AGO $2,000,000 POLICY [jX] PROP ❑ LOG JECT OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $1 000 000 BODILY INJURY (Per pen:un) ANY AUTO A ALL OWNED SCHEDULED AUTOS AUTOS HIRED NON -OWNED X AUTOS X AUTOS 34 SBA IJ1074 08/23/2019 08/23/2020 BODILY INJURY (Per accident) PROPERTY DAMAGE (Per acc.dem) UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000.000 AGGREGATE $1,000,000 A EXCESS LIAR M CLAIMS- 34 SBA IJ1074 08/23/2019 08 23/2020 ED X I RETENTION $ 10,000 WORKERS COMPENSATION PER X OTH- AND EMPLOYERS' LIABILITY T E.L. EACH ACCIDENT $1.000.000 ANY YIN B PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 34 WEC 1B3559 08/23/2019 08/23/2020 EL DISEASE FA EMPLOYEE $1.000,000 E.L DISEASE - POLICY LIMIT $1.000.000 (Mandatory in NH) If yes, describe under TI DESCRIPON OF OPERATIONS beknu A EMPLOYMENT PRACTICES LIABILITY 34 SBA IJ1074 08/23/2019 08/23/2020 Each Claim Limit Aggregate Limit $10.000 $10,000 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 rcOTtclr wT� unl nCD CANCFI I ATInN City of Fort Collins _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 580 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED FORT COLLINS CO 80522 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved- ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD