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HomeMy WebLinkAbout201762 CLARION ASSOCIATES LLC - INSURANCE CERTIFICATECLARASS-01 SLUND DATE (MM/DD/YYVY) CERTIFICATE OF LIABILITY INSURANCE 8/13/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER PFS Insurance Group 4848 Thompson Parkway Suite 200 Johnstown, CO 80534 INSURED Clarion Associates LLC 621 17th St #2250 Denver, CO 80293 PHONE FAX (A/C, No, Eat): (A/c, No):(970) 635-9401 ADDRIESS: shellyl@mypfsinsurance.com INSURER(S) AFFORDING COVERAGE NAIC M INSURER A: Westfield Insurance Company 24112 INSURER B : Plnnacol Assurance CO 41190 INSURER C: Zurich American Insurance Co 16535 INSURER D : Houston Casualty Company 42374 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER' T: NS 13 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 rypE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP R IN WVD MM/DD/YYYVl (MM/DD/YYYYl LIMITS A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR X CWP042989M 8/11/2019 8/11/2020 _ DAMAGET RENTED ante) $ PREMMED 300,000 EXP (Any one person) $ 5,000 - - PERSONAL & ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 POLICY X JECT LOC PRODUCTS - COMP_/OP AGG $ 4,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO CWP042989M 8/11/2019 8111/2020 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOpSSyVN BODILY INJURY (Per accitlent) $ X AUTOS X AUOTN6 PROPERTY acctlentDAMAGE ONLY ONLY $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE CWP042989M 8/11/2019 8/11/2020 2,000,000 DED X RETENTION$ 0 AGGREGATE $ $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY / N' STATUTE _ ER _ ANY PROPRIETOR/ PARTNER/EXECUTIVE 4060755 7/112019 7/1/2020 N/A Et EACH ACCIDENT $ 1,000,000 OFFICERIM�MggER EXCLUDED? (Mandatory inN iI - E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under .DES(aPTION OF OPERATIONS helow E. L. UISLASE- POLICY LIMP $ 1,000,000 C Worker's Compensatio WC4633097-09 7/1/2019 7/1/2020 Other States NC & NY 1,000,000 D Professional Errors H718112267 9/22/2018 9/22/2019 Prof Liability 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) If required by written contract, the City of Fort Collins, its officers, agents and employees are included as Additional Insured for ongoing operations under General Liability. City of Fort Collins City's Purchasing Director P.O. Box 580 Fort Collins, CO 80522 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 AUVKU Z, IZUTblUd) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD