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HomeMy WebLinkAbout193498 E-CUBE INC - INSURANCE CERTIFICATE (4)Client#: 98325 NEDEREF ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 8/31/2015 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 endorsement(s). PRODUCER CONTACT Laura Weeks NAME: CBIZ Insurance Services, Inc. PHONE g16-945-5589 A/C No Ext : A/C No): 700 West 47th Street, Suite 1100 E-MAIL ADDRESS: Iweeks@cbiz.com Kansas City, MO 64112 INSURER(S) AFFORDING COVERAGE NAIC # 816 945-5500 INSURER A: Hartford Casualty Insurance Co 29424 INSURED INSURER B : Hartford Insurance Co. of the M 37478 Nederland Refrigeration, Air Conditioni 02001 INSURERC: Travelers Casualty and Surety ( ng & Heating Corp., dba E-Cube Inc. INSURER DHartford Underwriters 30104 1900 Folsom #109 -- Boulder, CO 80302 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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER 34SBAPK5611 POLICY EFF POLICY EXP (MMIDDIYYYY)_(MMIDDIYYYYL 9/09/2015 09/09/2016 LIMITS $1,000,000 A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7X OCCUR EACH �OCCURRENCE PREMISES EaEoNccurrence _ $1,000,000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 $2,000,000 _ GENERAL AGGREGATE r'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-- LOC PRODUCTS - COMP/OP AGG $2,000,000 $ D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS 34UECKD3233 9/09/2015109/09/201 COa aMccBINED INGLE LIMIT EidentS 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X. UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 34SBAPK5611 9/09/2015 09/09/2016 EACH OCCURRENCE $4 000000 AGGREGATE s4,000,000 DED X I RETENTION $1 O 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? FW (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 34WBCBI7247 9/09/2015 0 9 / 0 9 / 2 0 16 X I TM STATU-s I OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 10.000.000 $1,000,000 Each Claim/ $1,000,000 Aggregate C Errors & Omission 105493136 9/09/2015 09/09/2016 DESCRIPTION OF OPERATIONS / LOCATIONS, VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: 598's City of Fort Collins. City of Fort Collins is an additional insured with regard to General Liability and Automobile liability, if required by written agreement, per forms SS000080405 and HA99160312. City of Fort Collins 215 N Mason Street, 2nd Floor Ft. Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CBIZ Insurance Ser-aices, Inc. ACORD 25 (2010/05) 1 Of 1 #S1179249/M1178533 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OPRS