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HomeMy WebLinkAboutRB + B ARCHITECTS INC - INSURANCE CERTIFICATE (2)RBBIN-1 OP ID: P6 ACORO' r ATE (MM/DD/YYYY) �- CERTIFICATE OF LIABILITY INSURANCE 09/16/2015 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 NAME: CONTACT House Account Brown & Brown Inc PHONE FAX 4532 Boardwalk Dr, Suite 200 A/C No Ext :970-482-7747 ac No): 970-484-4165 Fort Collins, CO 80525 E-MAIL House Account ADDRESS: INSURER(S) AFFORDING COVERAGE I NAIC N AMCO Insurance Company 119100 INSURED RB+B Architects, Inc. INSURERB: 315 E. Mountain Ave #100 Ft Collins, CO 80524 INsuRERc: INSURER D . INSURER E : INSURER F : r:r1VFRAr;FS rFRTIFIr:ATF NII IMRFR• RFVISInN NII IMRFR- 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 TADDLSUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD POLICY NUMBER MMIDD/YYYY) (MMIDDfYYYYJ LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE OCCUR X ACP7592373667 10/06/2014 10/06/2015 DAMAGE T RENTED PREMISES Ea occurrence 300 00 $ r X MED EXP (Any one person) $ 5,00 Business Owners REVISED TO SHOW NO COV AS OF 10-6-15 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 ❑ PRO - POLICY ❑ JECT LOC PRODUCTS -COMP/OP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILITY accent CEa OMBINED SINGLE LIMIT id $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,00 F—DED7RETENTION AGGREGATE $ 3,000,00 A EXCESS LIAR CLAIMS -MADE ACP7592373667 10/06/2014 10/06/2015 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as additional insured on the general liability. CERTIFICATE HOLDER CANCELLATION CITYF10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division AUTHORIZED REPRESENTATIVE 215 N. Mason St. 2nd Floor PO Box 580 S �� Fort Collins. CO 80522 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD