HomeMy WebLinkAboutWILLIAMS & WEISS CONSULTING LLC - INSURANCE CERTIFICATE (3)ACORO0 CERTIFICATE OF LIABILITY INSURANCE
DATE
12/6/2D015
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
USAA INSURANCE AGENCY INC/PHS
812846 P: (888) 242-1430 F: (888) 443-6112
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME:
(acNo.Ext (888) 242-1430
FAX .Nu>: (888) 443-6112
DIESS:
INSURER(S) AFFORDING COVERAGE NAICX
INSURERA: Sentinel Ins Co LTD
INSURED
WILLIAMS & WEISS CONSULTING, LLC
5255 RONALD REAGAN BLVD # 220
JOHNSTOWN CO 80534
INSURER B :
INSURER C :
INSURER D:
INSURER
INSURER F:
14V1rCK/ %xr_0 l.CK 111•IGA IIn NUMtitK' RFVI_4zIr11d Fill [USX FR-
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.
JNSR
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SUBA
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POLICpNr/AMER
POLKYFFF
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POLICYEXP
ITS
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCE
S l, 0 0 0, 0 0 0
DAMAGE NTED
PREMISES O(EaEoccunen'a)
$1 , 0 0 0 , 0 0 0
X
MED EXP (Any one person)
SlO, 000
A
General Liab
65 SBM TF8597
12/03/2015
12/03/2016
PERSONALS ADV INJURY
$1, 0 0 0, 0 0 0
GEN'L
GENERAL AGGREGATE
s2,000,000
AGGREGATE LIMIT APPLIES PER:
PRO- Fx] LOC
POLICY F JECT
PRODUCTS -COMP/OP AGG
5 2, 000, 000
OTHER
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
ANY AUTO
AOS SCHEDULED
AUTOS AUTOS
BODILY INJURY Per accident
( )$
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
(Per accident)
$
S
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
EXCESS LUAB
CLAIMS -MADE
AGGREGATE
5
D
REYENTION $
$
WOBL885 COtVPENSA77ON
A'VDFMPLOYEBSLL4MrY
ANY PROPRIETOR/PARTNERIEXECUTIVEYIN
OFFICERIMEMBEREXCLUDED?
(Mandatory in NH) ❑
N/A
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
E.L. DISEASE- EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
DESCRFWNOFOPERATIONS/LOCATIONS/ VEHA*MRD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations. RE: Project - The Halligan -Seaman EIS
Alternatives Modeling. Certificate Holder is an Additional Insured per the
Business Liability Coverage Form SS0008 attached to this policy. Notice of
cancellation will be provided in accordance with Form SS12230611 attached to
this policy.
4Lr�rrrr4MrG 17V LlJGR t:ANUt!LLA 1 I11N
The City of Fort Collins Utilities
PO BOX 580
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
AUTHOROW
01988-2014 ACORD CORPORATION_ All riahts rPSPry
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