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 )