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HomeMy WebLinkAbout443857 HOFFMANN, PARKER, WILSON & CARBERRY PC - INSURANCE CERTIFICATEACOROa CERTIFICATE OF LIABILITY INSURANCE DATE(MN:ODlYYVY) 7/29/2019 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. 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 NAME; Daniel Jobs AssuredPartners Colorado PHONE 303-863-7788 c No: 303-881-7502 IAIC Fiat. 9 4582 S. Ulster St., Suite 600 Malt Denver CO 80237 ADD : daniel. obs assured artners.com INSURER 5 AFFORDING COVERAGE NAIL 8 INSURER A: MedMarc Casualty Insurance Company 22241 INSURED HAYES-1 INSURER ill: Hartford Casualty Insurance Co 29424 Hoffmann, Parker, Wilson INsuReRc: Sentinel Insurance Co LTD 11000 & Carberry P.C. 511 Sixteenth St. Suite 610 INSURER O:_ Denver CO 80202 INSURER E : - INSURER F : f_nVFQA1%FC CFRTIFICOTE NIfURFR-935A57nnn 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. INBR A.DOL SU8R LTR TYPE OF INSURANCE u4SO W VD POLICY NUMBER MMrDD1YYYY IYY LIMITS B X COMMERCIAL GENERAL LIABILITY 34SBAPM3930 1 811/2019 8/12020 FACH OCCURRENCE $1,000,000 $300,000 CLAIMS -MADE _ X OCCUR I PREMISf,$_(Ea occurrence) $10,000 MED EXP (Any oneperson) E1,00D.000 PERSONAL d ADV INJURY $2,OOD.000 GEN'L AGGREGATE LIMIT APPLIES PER: . GENERAL AGGREGATE X POLICY , JEC7 LOC PRODUCTS . COMP/OP AGG $2,000.000 $ OTHER: B AUTOMOBILE LIABILITY 34SBAPM3930 W112019 81121120 COMBINEDINGLELIMIT -ili_ $ 000 BODILY INJURY (Per person) ANY AUTO $ BODILY INJURY (Per accident) $ _ ALL AUTOS OWNED SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE rs9cba0li._. —__ $ E UMBRELLA LIAR i OCCUR EACH OCCURRENCE $ _ •_AGGREGATE EXCESS UAB CLAIMS -MADE f DED RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' UABILITY Y I N 34WECBM335 8l112018 11112020 X ATUTE ER ANY PROPRIETOR'PARTNERlEXECLmVE E.L. EACH ACCIDENT E 100.000 OFFICER'MEMBER EXCLUDED? NIA -- (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $100,000 _ _ E.L. DISEASE - POLICY LIMIT II yes, describe under DESCRIPTION OF OPERATIONS below $ 500,000 A Professmnal Liabilly IOMCC0000112 $112019 8112020 Each Claim A8pre8ate 2.000.000 2.000.000 DESCRIPTION OF OPERATIONS : LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule. me,/ be attaAMd 8 mom space is required) The Insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelledexcept after thirty (30) days written notice has been received by the city of Fort Collins City of Fort Collins 300 LaPorte Ave Ft Collins CO 80521 w w SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W1TH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 2 of 2 5162