HomeMy WebLinkAbout551044 MOORE & ASSOCIATES INC - INSURANCE CERTIFICATEM00R&AS-01 MARIAM
'`A� � CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
6I15/2020
THIS CERTIFICATE IS .ISSUED AS A MATTER OF INF�IRMATION 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 INSURANCEDOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder is an ADDITIONALI 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
PRODUCER �.w..ao ,...w....w
United Agencies PHONE FAX ..
301 E.Colorado Blvd., #200 (626) 535-8300 (ac, Ne):(626) 577-1346
Pasadena, CA 91101�I�ss:
INSURED INSURER 8:Allmerica.Financiai.Benetitinsurance -Company
41840
Moore & Associates Inc. INSURER C :
25115 Ave Stanford Suite B215 INSURER D:
Valencia, CA 91355
INSURER E
INSURER F:
CAVFRAr.FR CFRTIFICATF rd11MRFR• RFVISinrd IJI IMRFR-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSPRANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
jLISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE -BEEN REDUCED BY PAID CLAIMS.
INSR
LTRTWE
- -
OF INSURANCE
ADDL
SUER
- -
'POLICY NUMBER
POLICY EFF.
POLICY EXP
-
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS=MADE aOCCUR
X
OB3-A94'6962-04
I
6/12/2020
6/12/2021
EACH OCCURRENCE
2,000,000
DAMAGE TO RENTED
(Ea occurenjoe)
$ ,000,000
1PREMISES
.MED EXP-(Any onePerson)
10,000
PERSONAL & ADVINJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY jpC(� 71 LOC
OTHER:
GENERAL AGGREGATE
4,000,000
PRODUCTS - COMP/OP AGG
4,000,000
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED AUTEEO��S ONLY AUUTNOSVyNEpBODILY
HIR ONLY X. AUTOO�ONLY
W3-A946916.04
I
6112/2026
6/12/2021
COMBINED SINGLE LIMIT
a 1,000,000
BODILY INJURY Per arson
S
Ix
INJURY Per accident
S
PPeOr ecaGent AMAGE
$
A
X
UMBRELLA LIAR
EXCESS Lue
- -
X
OCCUR
CLAIMS -MADE
-- -- -
I
OB3-A9I6962-04
6/12/2020
6/12/2021
EACHOCCURRENCE
S 2,000,0010
-
AGGREGATE
2,000,000
DED RETENTIONS
_
-DESCRIPTION
WORKERS COMPENSATION
AND EMPLOYERS' UABILI7Y Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
FFICERIME Mgg R EXCLUDED?
tt, de3c Ut N
If Dyea, )PrrIOe under
OF OPERATIONS belowI.E.L..
N /A
PER OTH-
TA
E.L. EACH ACCIDENT
E.L. DISEASE - FJa EMPLOYE
$
DISEASE - POLICY. LIMIT
§
i
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES' (ACORD 101, AddiUomi
City of Fort Collins, its officers,.agents and employees are named
Remarks Schedule, may be attached If more space Is required)
as additional insureds.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
C of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ffY ACCORDANCE WITH THE POLICY PROVISIONS.
215 North Mason St,2nd FL
Fort Collins, CO 80524
AUTHORIZED REPRESENTATIVE
25 (2016/01) 01988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD