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HomeMy WebLinkAbout105832 LISTENUP INC - INSURANCE CERTIFICATE (3)Cliantf- SAA03 LISHPIPC ACORD-. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/Y'/YY) 9/13/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lauren Valdes Holmes Murphy - Colorado PA/C HONNo E Eat): 720 622-9105 FAX AIC, No: 7600 East Orchard Road, Suite 230 South E-MAIL lvaides@holmosmurphy.com P Y•com ADDRESS: Greenwood Village, CO 80111 INSURER(S) AFFORDING COVERAGE NAIC is INSURER A : Travelers Indemnity Co of America 25666 INSURED INSURER B: Travelers Indemnity Company 25658 Listen Up, Inc. INSURERC: Pinnacol Assurance Company 41190 5295 E. Evans Ave Travelers Property Casual Co. America INSURER D : Casualty 25674 Denver, CO 80222 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER* 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDLSU IN POLICY NUMBER POLICY EFF MMID POLICY EXP MWDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR X 680OL556972 D913012019 09130/2020 EACH OCCURRENCE S11,000,000 PREMISES EaE�rrcnce $300 000 MED EXP (Any one person) $5 000 PERSONAL d ADV INJURY $1,000,000 GEN'L AGGREGATE UNIT APPLIES PER: X POLICY ❑ JECT LOC X OTHER: GENERAL AGGREGATE s2,000,000 PRODUCTS -COMPIOPAGG s2,000,000 S D AI*OMOBILEUABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED I OS ONLY X NON -OWNED AUTOS ONLY 13A9JO58444 D913012019 091301202 COMBINED 1,000,000 BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accideri $ $ B X UMBRELLA UAB EXCESS LUAB X OCCUR CLAIMS -MADE CUP9J058561 9/3012019 09/30/202 EACH OCCURRENCE s7,000,000 AGGREGATE s7,000,000 DED I X RETENTION SS OOO $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? F—Y] (Mandatory in NH) N yes, describe under DESCRIPTION OF OPERATIONS below NIA 4065M 1/01/2019 01/01/2020 X PERTUTE OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 00O 000 E.L. DISEASE - POLICY LIMIT $1,000,000 A Leased/Rented Eq. A Installation Fit. __ _ 6608L556972 6808L556972 _ 9/3012019 9/30/2019 09/30/202 $50,000; $1,000 Died 09/30/2020 $100,000; $500 Ded DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached a more space is required) City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability. City of Fort Collins PO Box 580 Ft Collins, CO 80522-0000 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) 1 of'! #S473683/M473466 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MANV1