HomeMy WebLinkAbout565851 MICHOW COX & MCASKIN LLP - INSURANCE CERTIFICATEAcoCERTIFICATE OF LIABILITY INSURANCE
DATE(M
oaro6/DD/YI/zoz0
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: N the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 endorsement(s).
PRODUCER
CONTACT
CHERRY CREEK INS AGENCY INC/PHS
34342353
The Hartford Business Service Center
PHONE (886) 467-8730
("�' NO' E"t)`
Fax (888) 443=6112
(A/C, No):
E-MAIL
3600 Wiseman Blvd
San Antonio, TX 78251
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAICO
INSURED
INSURERA: Sentinel Insurance Company Ltd.
11000
MICHOW COX & MCASKIN LLP
6530 S YOSEMITE ST STE 200
Hartford Insurance Company of the
INSURER B : Midwest
37478
GREENWOOD VILLAGE CO 80111-5128
INSURERC:
INSURER 0 :
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
INDICATEDAOTWITHSTANDING 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
BUBR
pOUCY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
General Liability
34 SBA 114860
03/01/2020
03/01/2021
EACH OCCURRENCE
$2,000,000
DAMAGE TO RENTED PREMISES$1,000,000
7
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO- Q LOC
OTHER:
GENERAL AGGREGATE
$4,000,000
PRODUCTS -COMP/OPAGG
$4,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED NON -OWNED
AUTOS X AUTOS
34 SBA 114860
03/01/2020
03/01/2021
COMBINED SINGLE LIMIT
(Ea accidaryll
$2,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
-
PROPERTY DAMAGE
(Per accident)
UMBRELLA LUIB
EXCESS LIAR
OCCUR
CLAIMS-
MADE
-
-
EACH OCCURRENCE
AGGREGATE
ED RETENTION $
B
WORKERB COMPENSATION
AND EMPLOYERS' LIABILITY
ANY YIN
PROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NN)
If yes, describe Under
N OF OERATIONS below
W A
34 WEC CD5095
03/01/2020
03/01/2021
X
PER
9TA
OTH-
ER
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE -EA EMPLOYEE
$500,000
E.L. DISEASE - POLICY LIMIT
$500,000
=
7
DESCRIPTION OPOPERAMNS i LOCATIONS I VENICLEB (ACORD 101, Addldonat Remarks Schedule, may be attached D more apace Is regWred)
Those usual to the Insured's Operations.
QERTIFICATE MALORA CANCFI I ATIAN
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Attn: Purchasing Dept.
PO BOX 580
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
FORT COLLINS CO 80522-0580
01988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
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