HomeMy WebLinkAboutRUSSEL & MILLS STUDIOS - INSURANCE CERTIFICATE (2)RUSSE-1
CERTIFICATE OF LIABILITY INSURANCE DATE ° II
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(Sh AUTHORQED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the.polley(ies) must have ADDITIONAL INSURED provisional or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemerd. A staiemam on
this certificate does not confer rights to the certificate holder in Iieu of such endorseme s .
PRODUCER 720-46"115
PUI Agency of Colorado, Inc
PO Box U12
LIttloton, CO $01613412
W. cT Cindy L. King
PHONE 720r465-9116 FAx 246-553-SM
No Eo
, cKinggprolrunaerwriters.com
Cindy L King
INSURE AFFORDING COVERAGE. .NAIC0
INSURER A: Hartford Ins. of the Midwest
37478
INSURED Russell + Mills Studios
CraCompany
W1Russell
506. College, Unit A
Fort Collins, CO 80524
INSURER , Travelers indemnity Company
25658
Insurance Navigators Com
alsuRERc: Navl 9
42307
INSURER D:
INSURER E :
INSURER F :
nA%MMA^-e PeDTICU`ATC Ll"NAMeD- RFVIAIfW An IMArR-
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.
INSIR
all-B
TYPE OF INSURANCEKOOL
Km
POLICY NUMBER
POLICY EFF
.POLY E%P
LIMITS
X
COMMHtciAL GENERAL LIAsa mr
CLAIMS -MADE ❑X occuR
-
680-SK396362-19-47
05/29/2019
ON2912020
EACH OCCURRENCE
S
E R RENTED-..
PNAGSE
1�000000
MED oire
5,000
PERSONAL 6 AOV INJURY
1,000,000
APP ES PER:
GENL AGGREGATE SET
POLICY ❑ JEIT L] LOC
GENERAL AGGREGATE
210W'000
PRODUCTS - COMPIOP AGG
S 210001000
B
AUTOMOBILE LIABILITY
IxANYAUTO
AUTOS � ONLY AUTO�SyGyL�E�Op
AUTOS ONLY X. AUTOS ONLY
68"K39M2-19.47
05"A=19
_
05129i2020
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,00 0
SOMLYINJURv
BODILY INJURY
0 AMAGE
UMBRELLA LWB
EXCESS LAB
OCCUR
CLAIMS-AMOE
EACH OCCURRENCE
AGGREGATE
.
DED
RETENTIONS
A
AWORKER8PENM► SAT
ANY I��PR��OPppRI� RgIPARTNERIEXECUTIVE YIN
I M=%MW)EXCLUDED?
e sa, asaalw rider
OFQE;5LTQS below
NIA
35WECII2813
02I041Y019
07JO412020
X PER I I oTH=STATUTE =R
E.L EACH ACCIDENT-
S 1,000,000
E.L. DISEASE -EA EMPOYE
110(XIM0
I _ .PQL1,000.000
C
ProfeseloLm1 uab
CM19DPLO191311V
091151201
020
Ea Claim
Aggregate
2,000,000
2,000,000
DESCMPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addllonal Romaata SdbdNe, may be aBacBed If more apace Is requaee)
PCDTNCWATC U1% nc0 CA#J"I I ATIAN
FTCOLLI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
C Of Fort CollinsTHE
City
EXPIRATION DATE' THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Fort Collins, CO 80524
AUTHORIZED RREEPRESENTATIVE
ACORD 25 (201WO3) 01988-2015 ACORD CORPORATION. All rights resenretl.
The ACORD name and logo are registered marks of ACORD