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HomeMy WebLinkAboutROCKY MOUNTAIN STUDENT MEDIA CORPORATION - INSURANCE CERTIFICATE (2)DATE (MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCEF7/31/2017 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 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). FRODR CONracr WhitneyMorgan, CLCS, CISR NAME: Y g and Peterson eH/C. ONN xt: (970)356-0123 ��Nc v(970)330-1867 578 AnnAFRq.WMorgan@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC If Greeley CO 80632 INSURER A:Massachusetts Bay Insurance Company 22306 INSURED INSURERB:P1nnacol Assurance 41190 Rocky Mountain Student Media Corporation INSURERC: 1101 Centre Ave Mall, Room 118 INSURER0: INSURER E . Fort Collins CO 80523 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1773118918 REVISION NUMBER: 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 CONIRACT 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 TYPE OF INSURANCE LTR ADDL SUER POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DONYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS -MADE. X OCCUR DAMAGE To RENTED PREMISES (E. occurrence) $ 1,000,000 MED EXP (Any one person) $ 51000 X OD4 A997251 01 7/28/2017 7/28/2018 PERSONAL & ADV INJURY $ EXCLUDED GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- JECT :_1 LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY (CEO, accMBINED SINGLE LIMITident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED _ AUTOS AUTOS OD4 A997251 01 7/28/2017 7/28/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ NON -OWNED X HIRED AUTOS X AUTOS $ X UM13RELLALIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE $ DED X RETENTION$ 0 OD4 A997251 01 7/28/2017 7/28/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YEN X PER OTH- STATUTE ER ANY PROP RIETO R/PARTNER/EXECUTIVE B (Mandatory in EXCLUDED? ( ry' ) NSA 4125313 7/1/2017 7/1/2018 E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE- EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. CERTIFICATE:HOLUEH C:ANCELLA I IUN City of Fort Collins P.O. 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 Morgan, CLCS, CISR/ Lc-`'`�-rYlo'" © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)