HomeMy WebLinkAboutSOUND SPECTRUM - INSURANCE CERTIFICATE--_ - -
�coRv71 ® CERTIFICA E OF LIABILITY INSURANCE bA 1012 IDDIYYYq
.:. ... -. .-�-10/28/2019
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 CERTIFIE!]l HOLDER
IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsenlent(s). -
Co West Insurance Associates
P.O. Boir 101387 _
Denver CO 80250-1387 INSURERA: Philadelphia Indemnity Insurance Comp:
INSURED INSURER B: Plnneaol Assurance 41190
Sound Spectrum INSURER C :
Craig Lucareili INSURER D :
2218 Jewel Street INSURER E :
Longmont CO 50501 INSURER F:
COVFRAGFS CERTIFICATE NUMRFR: 2019-20 Master Liab REVISION NUNIBFRi
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 MAYBE ISSUED OR.MAY'PERTAIN, THE INS-AURNCE'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.
LTR
TYPE OF INSURANCE
POLICY NUMBER
MMn)DY YYYI
MMn) POLICY EXP
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCES
$ 1,000,000
CLAIMSMADE � OCCUR
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Anyone person)
y 20,000
PERSONALAADv.iNJURY.
$ 1..000,000
A
PHI K2054842
11/01/2019
11/01/2020
GENLAGGREGATE UMITAPPUES PER:
GENERALAGGREGATE _.
;. 2.000,000 _
POLICY ❑.jE0. LOC
.PRODUCTS-COMP/OP.AGG.
S 2.0000.000
Bodily Injury Ded.
s 1.000
OTHER:
-
---- -
AUTOMOBILE LIABILITY_
-
--
COMBINED SINGLE LIMIT - -
Ea accident
-
S -
BODILY INJURY (Per person) -
$
ANY AUTO
OWNED F SCHEDULED
BODILY INJURY (Per accident)
ll
AUTOS
AUTOS ONLY AUTOS....
PROPERTY DAMAGE
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
Peraccktent
5
UMBRELLA LULB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LAB
CLAIMS -MADE
DEC)
I I RETENTION
$
WORKERS COMPENSATION
X ERH-
AND EMPLOYERS' LIABILITY Y I N
STATUTE
EL EACH ACCIDENT
$ 100,000
-
B
ANY PROPRIETO RIPARTNER/EXECUIIVE
NIA
3528152
11,01/2019
11/01/2020
100,000
OFFICER/MEMBER EXCLUDED?
-
(Mandatory :IriNN)
E.L. DISEASE -EA EMPLOYEE
$
If yes, describe under
500,000
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESORPTION OF OPERATIONS /LOCATIONS / tn311CLE5 (ACORD 101, Additional
Remarks Schedule, may be attached U more space Is required)
With respect to General Liability Insurance, the policy contains a Blanket
Additional Insured Endorsement for any person or organization whom the insured is
required to add as an Additional Insured under a written contract, agreement
or perm , for any bodily injury or property damage caused by any acts or
omissions of the Named Insured.
r%coTlLu-ATc:unl nco I r_ANr_cl I ATInN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE. THEREOF, NOTICE WILL BE. DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE 'POLICY PROVISIONS.
P.O. Box580
AUTHORIZED REPRESENTATIVE
Fort Collins CO
80522-0580
W 1V51t 1t1 AGUKU GUK#-UKAI IUN. All ngnre reserveo.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD