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HomeMy WebLinkAbout524211 RNL DESIGN INC - INSURANCE CERTIFICATE (6)ACORD, CERTIFICATE OF LIABILITY INSURANCE 10/1/2016 DATE(MMIDDIYYYY) 9/30/2015 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 Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 CONT CT NAME: PHONE AIC No Ext : A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # (303) 414-6000 INSURER A : The Travelers Indemnity Company 25658 INSURED RNL Facilities Corporation & 1038325 RNL Design, Inc. 105017th Street #A200 INSURER B : Travelers Intletnnity CO of CT 25682 INSURER C ; Travelers Property Casualty Co of America 25674 Denver CO 80265 INSURER D INSURER E : INSURER F : COVERAGES RNLFA01 CERTIFICATE NUMBER: 12902742 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y N 630IF078726TIA15CAG 10/1/2015 10/1/2016 EACH OCCURRENCE 1,000MO PREMISES (ETO a occur ence) $ 1,000,000 MED EXP (Any oneperson) 5,000 PERSONAL & ADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRJECT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000.000 1 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED AUT AUTOS OSULED ALL NON OWNED HIRED AUTOS X AUTOS Y N BAIF078726TCT15CAG 10/1/2015 10/1/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000 000 X BODILY INJURY (Per person) $ XXXXXXX IX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX $ XXXXXXX C X UMBRELLA LIAB EXCESS LIAR I}( r—ICLAIMS-MADE OCCUR N N CUPIF07872615CAG 10/1/2015 10/1/2016 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 X DED I I RETENTION $ $ XXXXXXX WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA NOT APPLICABLE PER OTH- STATUTE E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE XXXXXXX E.L. DISEASE- POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Fort Collins Block 32 Redevelopment. City of Fort Collins is an Additional Insured on the General Liability and Auto liability if required by contract. I.GK I IFIt A 1 C MULL L AIVI.tLLA 1 IUIV 12902742 City of Fort Collins Attn: Gerry S. Paul P.0 Box 580 Fort 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 ACORD 25 (2014/01) ©1 8120�CORD CORPOKATION. All riahts reserved Thu Arr1Rr) nnmu nnrt Inn^ mru rcnictcrari nrl of Ar t-%Pr1