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HomeMy WebLinkAbout309311 CAPSTONE PLANNING & CONTROL INC - INSURANCE CERTIFICATE (8)o® CERTIFICATE OF LIABILITY INSURANCE DATE,MNy°D/YYYY) 1. 1/5/2016 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 - i Taggart and Associates, Inc 1600'Canyon Boulevard P. 0. BOX-147 Boulder CO 80306 CONTACT Ellie Jeffers NAME: PHONE Ext: (303)442-1484 � Na: (303)442-3822 E-MAILss:elliej@taggartinsurance.com ADDRE INSURERS AFFORDING COVERAGE NAIC9 INSURERA:Hartford Fire Insurance Co 19682 INSURED Capstone, Inc. 11001 W. 120th Ave, Suite 220 Broomfield CO 80021 1 INSURER B:Hartford Casualty Insurance Co 29424 INSURERCDarwin Select Insurance Company 24319 INSURER D: INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:16-17 Master 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 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. ILTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMID 'YYYY POLICY EXP MM/D LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR DAMA T NTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 X 34SRAER2345 1 33/2016 1/3/2017 PERSONAL B ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- LOC JECT GENERAL AGGREGATE $ 2,000,000 X PRODUCTS-COMP/OP AGG S 2,000,000 Hired & Non -Owned Auto $ 1,000,000 OTHER: - _ .AUTOMOBILE UABILII COMBINED SINGLE LIMIT$ Ea accident . BODILY INJURY (Par person) $ A ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS 34SEAER2345 - 1/3/2016 -' - - 1/3/2017 BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS J AUTOS PROPERTY DAMAGE Par accident $ $ X UMBRELLA LUIB L OCCUR EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 A EXCESS LAB CLAIMS -MADE DED I X I RETENTION$ 10,000 _ $ 34SRAER2345 1/3/2016 1/3/2017 B WORKEAND EMPLO ERS'L COMPENSATION Y/N ANY PROPRIETOR/PARTNEWEXECUrIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N yes, describe under DESCRIPTION OF OPERATIONS below —7 N I A 34WECBX2912 1/1/2016 1/1/2017 X I STATUTE I ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 C Errors 6 Omissions 33067192 6/2/2015 6/2/2016 General Aggregate $2,000,000 Deductible: $25,000 Each Occurrence $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Additional Rsnarks Schedule, may be attached if more space Is required) - City of Fort Collins is included as additional insured to the General Liability coverage as required by written contract. A 30 Day notice of cancellaton will be provided to the certificate holder. City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 L"L1ll�ML1Il lil 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 leen Jeffers/RAM ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I NS025 (2D14o1)