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HomeMy WebLinkAboutTURNER MORRIS INC - INSURANCE CERTIFICATEAC RO O® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) F12/18/2015 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 CONTACT Quinn,AME: Julie CIC _ Moody Insurance Agency, Inc. ZONEN.Ext)(303) 824-6600 No): (303)370-0118 8055 East Tufts Avenue E-MAIL ins.com ulie. uinn@mood ADDRESS: julie-quinn@moodyins.com Suite 1000 INSURERS AFFORDING COVERAGE NAIC # Denver CO 80237 INSURERA:Cincinnati Insurance Company 10677 INSURED INSURERB:Amer Guarantee Liab Ins Co 26247 Turner Morris, Inc. INSURERC:Pinnacol Assurance 41190 5054 Marshall Street Arvada CO 80002 1 INSURER F: COVERAGES CERTIFICATE Nl)MRFR15-16 no Forms RGVICInnI KII1RARr:D- 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 REOUiREMENT, 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 I TYPE OF INSURANCE AD L SUBR. POLICY NUMBER POLICY EFF MM/D YY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ix OCCUR EACH OCCURRENCE j 1, 000, 000 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any oneperson) $ 10,000 EPP0172731 12/31/2015 12/31/2016 PERSONAL & ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY CO aBINEDccidenSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS EPP0172731 201 12/31/5 12/31/2016 i P BODILY INJURY (Per accident) ( ) $ X NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist BI s lit limit $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 AGGREGATE $ 6,000,000 B EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ AUC485711105 12/31/2015'112/31/2016 C 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 N/A 4016103 1/1/2016 1/1/2017 R X STATUT R E.L. EACH ACCIDENT S 1f000,000 E.L. DISEASE - EA EMPLOYE S 1,000,000 E.L. DISEASE -POLICY LIMIT y 1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) %,ten i Irish I F- nvL.vF-rs L AN1-tLLA I IUN City of Fort Collins 281 North College Avenue Fort Collins, CO 80524 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 J Quinn, CIC/JULQUI 91988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401 )