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HomeMy WebLinkAbout127605 SKUMATZ ECONOMIC RESEARCH ASSOCIATES INC - INSURANCE CERTIFICATE (5)0 .acoRc� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 2/28/2016 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 TAGGART & ASSOCIATES, INC/PHS 342321 P: F: PO BOX 33015 SAN ANTONIO TX 78265 CONTACT �- NAME. PHONE (A/C, No, Et): FqX (AlC. No). E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICk INSURERA: Hartford Casualty Ins Co INSURED �I U L� SKUMATZ ECONOMIC RESEARCH ASSOICI TES—,, INC. 762 ELDORADO DR STE 100 SUPERIOR CO 80027 INSURER : Twin City Fire Ins CO INSURER C: INSURER D: INSURER E: INSURER I.V VCKFIbC3f k rKI IFIGAIt NUM13tK: RFVIRION N[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 LTR TYPEOFINSURANCE ADDL SUBR POLICYNCMBER POLICYEFF D/YYY POLICYEXP LLIIITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X] OCCUR General Liab AGGREGATE LIMIT APPLIES PER: POLICY [ —1 JE ❑X LOC OTHER: 34 SBA PA5100 03/12/2016 03/12/2017 EACH OCCURRENCE s2,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) s300,000 X GEN'L X MED EXP (Any one person) $10, 000 PERSONAL & ADV I NJ URY S 2, 000, 000 GENERAL AGGREGATE s4,000,000 PRODUCTS - COMP/OP AGG s4,000,000 A AUTOMOBILE X LIABILITY ANY AUTO AOSCHEDULED HIRED AUTOS X NON -OWNED AUTOS 34 SBA PA5100 03/12/2016 03/12/2017 COM NED accident) SINGLE LIMIT S 2, 0 0 0, O O 0 BODILY INJURY (Per person) BODILY INJURYAUTOS (Peraccident )S PROPERTY DAMAGE (Per accident) $ S UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE DE RETENTION $ $ PF ORK"s COMPENSATION ANDEMPLOTERS'LL4RILITT ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below MIA 34 WEC GM5199 03/12/2016 03/12/2017 PER OTH- X STATUTE ER E.L. EACH ACCIDENT ' 1, 000, 000 E.L. DISEASE -EA EMPLOYEE' 1,000,000 E.L. DISEASE - POLICY LIMIT $1 , 0 0 0 , 0 0 0 DESCRIPTION OFOPERATIONS I LOCATIONSI VEHI *NMRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. LCRI Irnm IC r1VLUCK CAN(=F1 I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attn: James B . O'Neill PO Box 580 Fort Fort Collins, CO 80522 / ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD