Loading...
HomeMy WebLinkAboutDC SOUND SYSTEMS INC DBA NATIONAL SPEAKER AND SOUN - INSURANCE CERTIFICATEDCSOU-1 OP ID: SLR ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F01/28/2016 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 CRS Insurance Brokerage Commercial Risk Solutions DBA CONTACT NAME: David A. Benshoof PHONE FAX ,e/C No Ell: 303-996-7801 Atc No : 303-757-7719 n oRIL 6600 E. Hampden Ave. Denver, CO 80224 David A. Benshoof INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Pinnacol Assurance 41190 INSURED DC Sound Systems, Inc. dba National Speaker and Sound 1559 South Broadway INSURERB: INSURER C Denver, CO 80210-2607 INSURER D : INSURER E : INSURERF: NO COVERAGE WITH CRS 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 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 SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ NO COVERAGE CLAIMS -MADE OCCUR N/A DAMAGE To RENTED PREMISES Ea occurrence $ NO COVERAGE MED EXP (Any one person) $ NO COVERAGE PERSONAL & ADV INJURY $ NO COVERAGE GEN'L AGGREGATE LIMIT APPLIES PER : GENERAL AGGREGATE $ NO COVERAGE POLICY PRO F—IJECT LOC PRODUCTS - COMP/OP AGG $ NO COVERAGE $ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ NO COVERAGE BODILY INJURY (Per person) $ ANY AUTO N/A ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident ) $ PROPERTY DAMAGE Per accident $ NON -OWNED H IRED AUTOS AUTOS UMBRELLA LIAR IOCCUR EACH OCCURRENCE $ NO COVERAGE AGGREGATE $ NO COVERAGE EXCESS LIAR CLAIMS -MADE N/A DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y- OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 4033794 02/01/2016 02/01/2017 X PER OTH- STATUTE ER E.L.EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE, $ 500,00 �— If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Senior Center A/V Project. All policy terms, conditions and exclusions apply. ULK I It-IUA 1 t HULUtK CITYFOR City of Fort Collins 215 N. Mason Street Fort Collins, CO 80521 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 i ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD