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HomeMy WebLinkAbout127605 SKUMATZ ECONOMIC RESEARCH ASSOCIATES INC - INSURANCE CERTIFICATE (7)CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
02/01/2018
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 pollcy(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 endorsement(s)-
PRODUCER
CONTACT
NAME:
TAGGART & ASSOCIATES, INC/PHS
34342321
p"cN 866 467-8730
a 888 443-6112
E-MAIL
THE HARTFORD BUSINESS SERVICE
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIClr
CENTER
INSURER A: The Twin City Fire Insurance Company
29459
3600 WISEMAN BLVD
SAN ANTONIO, TX 78265
INSURED
INSURER B :
SKUMATZ ECONOMIC RESEARCH
INSURER C
ASSOCIATES, INC.
INSURER D -
INSURER E:
762 ELDORADO DR STE 100
INSURER F:
SUPERIOR CO 80027-8287
COVERAGES CERTIFICATE NUMBER: 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 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.
INISH
LTR
TYPE OF INSURANCE
ADDL
INSR
SUB VIVO
VD
NUMBER
POLICY EFF
MM/DDiYYYY)
POLICY EXP
M D?YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
CLAIMS MADE OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GEN1 AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
POLICY ❑ PRCTO ❑ LOG
JE
PRODUCTS - COMP/OP AGG
$
OTHER:
AUTOMOBILE LIABILRY
COMBINED SINGLE LIMIT
accident)
$
BODILY INJURY (Per person)
_
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
HIRED AUTOS NON -OWNED
AUTOS
UMBRELLA L1AB
H
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YIN
P
STATUTE X ER
$
E.L. EACH ACCIDENT
$ 1,000,000
A
ANY PERWEMB R/PXCLUD /EXECUTIVE
OFFICERIMEMBER EXCLUDED?
MIA
34 WEC GM5199
03/12/2018
03/12/2019
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
(Mandatory in NH)
It yes, describe under
E.L. DISEASE - POLICY DMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS below
$
DESCRIPrION OF OPERATIONS /LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required)
Those usual to the Insured's Operations_
CERTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS ATTN: JAMES B. O'NEILL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
PO BOX 580
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
THE POLICY PROVISIONS.
FORT COLLINS CO 80522
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved_