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HomeMy WebLinkAbout167490 PEAK AUDIO VISUAL LLC DBA CCS PRESENTATION - INSURANCE CERTIFICATECCSPR-2 OP [Do ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE Fn9l0q/901R 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 rights to the certificate holder in lieu of such endorsements . PRODUCER 303-420-1637 CONTACT Don W Carver Carver and Associates I PHONE 303-420-1637 FAX 303-431-9237 7710 Ralston Road (A/C, No, Ext): I Wwc, No): Arvada, CO 80002 E-MAIL ADDRE Don W Carver Travelers INSURED Peak Audio Visual, LLC dba CCS Presentation Systems 700 West Mississippi Ave, Bldg Denver, CO 80223 COVERAGES CERTIFICATE NUMBER_ REVISION NIIMBFR- 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS -MADE F_X] OCCUR y 680654OB135 02/18/2018 02/18/2019 $ - _-300,000 AGE TSESO RENTEDnce) DAMoccvffe _REMMED EXP (Any oneperson) $ 5,000 PERSONAL & AD V INJURY $ 1,000,000 GENT _ AGGREGATE LIMIT APPLIES PER: PALICY. PE LOC GENERAL AGGREGATE $ 10,000,000 _... _ PRODUCTS - COMP(Q AG.G $ 2,000,000 - ...__ .. _ .. .. OTHER: AUTOMOBILELIABIL-ITY- --- - - "' --- " " - -- --- -• • --•-- COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY Perperson) $ ANY AUTO - OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ HIRED - NON -OWNED AUTOS ONLY = AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 EXCESS LIAB CLAIMS -MADE CUP0576T235 02/18/2018 02/18/2019 DED X I RETENTION $ 5,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/W PER OTH- ISTATUTER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ /M OFFICEREMBER EXCLUDED? (Mandatory in NH) N / A E.L. EACH ACCIDENT $ $ E.L. DISEASE - EA EMPLOYEE If yes, describe under _ - DESCP.lPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT A Commercial Applica I I 680654OB135 02/18/2018 02/18/2019 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Projects of the insured - City of Fort Collins is additional insured if required by written contract. FORTC-6 City of Fort Collins Purchasing and Risk Management 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD