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553887 CRORY & ASSOCIATES INC - INSURANCE CERTIFICATE (7)
CROR&AS-01 JGA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE I22120Y os/2/2017 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 have ADDITIONAL INSURED provisions or 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 riohts to the certificate holder in lieu of such endorsement(s). PRODUCER Premier Agency, Inc. 5 Sierra Gate Plaza 2nd FI Roseville, CA 95678 INSURED Crory & Associates, Inc. Rick Crory 901 Sunrise Ave, Ste B-12 Roseville, CA 95661-4560 Mr. I ' H Nro Ert: 916 784-1008 E- 1 INSURERS AF INSURER A: Ha Ord Casual INSURER B: Hartford ACCIde INSURER C : INSURERD: INSURERE: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 784-8116 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 FO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ryPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Tech E&O $3,000,000 X 57SBARH6288 05/09/2017 05/09/2018 EACH OCCURRENCE 2,000,000 PREMISES (EaDAMAGE TO REED 11000,000 X MED EXP (Any one erson 10,000 PERSONAL & ADV INJURY 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY F_X1 ma LOG OTHER: GENERAL AGGREGATE 4,000,000 PRODUCTS - COMP/OP AGG 4,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY X 57UECZC7339 05/09/2017 05/09/2018 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 _ BODILY IN RY Per arson BODILY BODILY INJURY Per accident PPe�acGtleTMntDAMAGE A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 57SBARH6288 05/09/2017 05/09/2018 EACH OCCURRENCE 1,000,000 AGGREGATE 1,000,000 DED I X I RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANFICER/MEMBER EXCLUDED? ECUTIVE ❑ 9Aandatory in NH) If es, describe under DES RIPTI N F PERATIONS below N / A PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Fort Collins, its officers, agents and employees are included as additional Insured with respects to general liability per attached SS0008 0405 endorsement and auto liability per attached HA 99 16 03 12 endorsement. City of Fort Collins Attn: Purchasing Dept PO Box 580 Fort Collins, CO 80522 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD