HomeMy WebLinkAbout201762 CLARION ASSOCIATES LLC - INSURANCE CERTIFICATE (2)CLARASS-01 DVII
A` ORo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
9/23/2019
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 _NAME: `
PFS Insurance Group PHONE
4848 Thompson Parkway Suite 200 Ew�cq' �No, Ext):_
Johnstown, CO 80534 ADDR dial
INSURED
Clarion Associates LLC
621 17th St #2250
Denver, CO 80293
107-1
_ _. ___ �_��.�.... ��... .....�... RFVIS1r1N NI IMRFR-
635-9401
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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
OF INSURANCE
AOOL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EX-0—
LIMITS
LTRTYPE
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
x
CWP042989M
8/11/2019
8/11/2020
EACH OCCURRENCE
S 2,000,000
PREMIDAMAES(RENTED
MED EXP one neon
30
51000
S 000
PERSONAL B ADV INJURY
$ 2,000,000
GEN'L AGGREGATE pLRIMpIT� APPLIES PER
POLICY �X JEGT LOG
GENERAL AGGREGATE
S 4,000,000
PRODUCTS-COMP/OPAGO
S 4,000,000
A
OTHER.
AUTOMOBILE LIABILITY
LIMIT SINGLE L
S 1,0001000
BODILY INJURY PerPerson)
$
AUTO
CWPO42989M
$11112019
8/11/2020
BODILY INJURY PeraccKMM
S
OWNED SCHEDULED
IxANY
ALIT) ONLY AU�TµOpSyyNEp
AUTOS ONLY X AUTOS ONLY
R
PPeor skX lsn1 GE
$
A
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
CWP04298 M
8111/2019
8/11/2020
EACH OCCURRENCE
2,000,000
AGGREGATE
$ 2,000,000
DED X RETENTION $ O
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
QQF�FICER/MEMgER EXCLUDED?
(Mandatory in NX)
NIA
0755
711I2019
7/1I2020
X PER
E.L. EACH ACCIDENT
1,000,000
S
1,000,000
E.L. DISEASE - EA EMPLOYEE
H yes. describe under
DESCRIPTION OF OPERATIONS below
C Worker's Compensatio
D Professional Errors
WC4633097-09
H718112267
7/1/2019
W22/2019
7/112
9/22/2020
IS E - P GY AMR
the020 (Or States NC & NY
Per Claim
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be tlfaclNd Nmore 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
ACORD 25 (2016/03) V T9if t1-LUI� AL VttU \ VRrvRN r Ivre. r�u nyuw ,vac. r
The ACORD name and logo are registered marks of ACORD