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Home My WebLink About376039 THE BALLARD GROUP INC - INSURANCE CERTIFICATE (5)Client#: 1086719 BALLAGRO DATE (MM/DD/YYYY) ACORD,,, CERTIFICATE OF LIABILITY INSURANCE 9/01/2015 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 CONTAC NAME: USI Colorado, LLC Prof Liab PHONE 800 873-8500 (A/C, No, Ex, (A/C, NO): P.O. BOX 7050 ' E-MAIL Englewood, CO 80155 I ADDRESS: 8OO 873-SSOO INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Insurance Company 19682 INSURED The Ballard Group, Inc. P.O. 36007 Denver, CO 80236 INSURER B : Travelers Casualty and Surety C 19038 INSURER D : INSURER E : 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. LTpR TYPE OF INSURANCE NSRADDLSUBR X WVD X POLICY NUMBER MM/DDNYYY MM/DDNYYY LIMITS A GENERAL LIABILITY 34SBWEU2032 9/01/2015 09/01/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:9 OCCUR PREMISES EaEoNccTurtence $300 000 MED EXP (Any one person) $10 000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY F7X E 4 LOC $ A AUTOMOBILE LIABILITY X X 34SBWEU2032 9/01/2015 09l01/201 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- IOTH, AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERiMEMBER EXCLUDED? ❑ N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Wow 9/01/2015 09/01/2016 E.L. DISEASE - POLICY LIMIT $ $1,000,000 per claim B Professional 105334565 Liability $2,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability and Designated Insured under Automobile Liability, but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. The General Liability and Automobile Liability (See Attached Descriptions) ULH I IFIUA I t HULULH GANGLLLA I IUN City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S16113896/M16075468 PXLZP DESCRIPTIONS (Continued from Page 1) insurance applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability and Automobile Liability. Please note that Additional Insured status does not apply to Professional Liability. Additional Insured: City of Fort Collins, CO SAGITTA 25.3 (2010/05) 2 of 2 #S16113896/M16075468