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Home My WebLink About556806 CASCADIA CONSULTING GROUP INC - INSURANCE CERTIFICATEOP ID: SR CERTIFICATE OF LIABILITY INSURANCE DATE 12/0812015'YI 1 voar2ol s 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 endomement(s). PRODUCER Sprague Israel Giles 1501 Fourth Avenue, Suite 730 Seattle, WA 98101-3225 Robert Karl CONTACT PHONE FA% A/c No Ext A/C No): ADDRESS: CA License #0192858 PRODUCER CUSTOMER ID 0,CASCA-1 INSURERS AFFORDING COVERAGE NAIC If INSURED Cascadia Consulting Group, Inc 1109 1 st Ave., Ste. 400 Seattle, WA 98101 INSURER A: Darwin Select Insurance Co. 24319 INSURER B : NON ADMITTED CARRIER INSURER C : INSURER D : INSURER E : INSURERF: GUVCHAGES CERTIFICATF NIIMRFR REVICInal sulsataco. 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 7ypE OF INSURANCEoij POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMSMADEOCCUR MED EXP(Any one person) b PERSONAL B ADV INJURY S GENERAL AGGREGATE 5 GEML AGGREGATE LIMIT APPLIES PER: POLICY JPROfEC n LOC PRODUCTS - COMP/OP AGG S $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE (PER ACCIDENT) S HIREDAUTOS $ NON-OWNEDAUTOS S UMBRELLA UAB OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB CLAIMS-LIADE - - DEDUCTIBLE b $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA WCSTATU- OTH- TDRYLIMITS I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS below I A ProfessionalLiab 0304-2934 12/17/2015 12/17/2016 EA.CLAIM 1,000,000 S25,000 Deductible RETRO-DATE: 12I7108 Aggregate 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ***CLAIM MADE*** City of Fort Collins PO 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 RREPRESENTATIVE/ / * 4' /a. ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD