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HomeMy WebLinkAbout342049 WIDNER & MICHOW LLP - INSURANCE CERTIFICATE (5)`�R CERTIFICATE OF{ LIABILITY INSURANCE DATE (MMID.DNM) 11/02/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA710N 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 INSU S , AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If'the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terns 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 endorsemen s . PRODUCER PAYCHEX INSURANCE AGENCY ING CONTACTNAME: 1 PHONE (877)266 6850 (A/C. No, Ext): FAX (585)389-7894 yvc, Noy 76210705 150 SAWGRASS DRIVE 0AAUADDRESS: ROCHESTER NY 14620 - INSURERS) AFFORDING COVERAGE NAICS iNSURERA: Hartford Casualty Insurance Company 29424 INSURED INSURER B.: 1 WIDNER & MICHOW LLP iNsua_ERc: 13133 E ARAPAHOE RD STE 10b INSURERD: CENTENNIAL CO 80112 INSURER E i INSURER F : r F:RTIFlrATF NI 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 TYPE OF INSURANCE ADDL SUER PiDUCYNUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL UA131 TTY EACH OCCURRENCE CLAIMS-MADE❑OCCUR DAMAGE TO RENTED MED EXP (Any one person) PERSONAL &'ADVINJURY - - GEN'L AGGREGATE LIMIT APPLIES PHi: GENERALAGGREGATE POLICY ❑ JECT ❑ LOC PRODUCTS-COMP/OP AGG OTHER AUTOMOBILE UABILDY COMBINED SINGLE LIMIT Me accident) ANY AUTO BODILY INJURY (Per (P person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) HIRED NON -OWNED PROPERTY DAMAGE - AUTOS AUTOS (Peraccidem) UMI1=. A LIAR OCCUR EACH OCCURRENCE EXCESS LJAB CLAIMS - MADE AGGREGATE ED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X - PER ST OTH- EL EACH ACCIDENT - $100,000 A ANY YIN PROPRIETOR/PARTNE WEXECUTIV E orRCERi'MEMBEREXCLUDED? NIA 76 WEG NS8200 12/01/2019 12/01/2020 EL DISEASE -EA EMPLOYEE $100,000 (Mandatoryin NH) If yes, desvibe under E.L. DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRN'nON OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, /additional Remarks Schedule, may be attached if more space is requirod) Those usual to the Insured's Operations. I` N:j:arl:irer-sry:rein @I=IT� THE CITY OF FORT COLLINS - SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED PO BOX 580 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED FORT COLLINS CO 80522-0580 .. - IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED-kEPREsEWTATNE - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD