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HomeMy WebLinkAbout433338 RUSSELL + MILLS STUDIO - INSURANCE CERTIFICATE (2)RUSSE-1 OP ID: CK ,4coRa► CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY► `—� 06/21 /2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ^^�iccoc un or�uTc rrnnu Tur IQOT!►1/+�TC un! 11r� TIJIQ CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEN4_'-"__- BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT UETa; EEEs 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 terns 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 PO Box 3412 f Colorado, Inc NAMEA T Cindy L. Kin (AIC.PHONE : 720-465-9116 FAX No): 248-553-8305 ADDRESS- AIL SS: cking@,profunderwriters.com Littleton, CO 80161-3412 Cindy L. King INSURERS AFFORDING COVERAGE NAIC # INSURER A:Navigators Insurance Company 42307 INSURED Russell + Mills Studios INSURER B : Hartford Ins. of the Midwest 37478 506 S. College, Unit A Fort Collins, CO 80524 INSURER C: Travelers Indemnity Company 25658 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED i v Ti [ = _ „ INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wt i ri RESPE:, i 1 v '..HICH 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS C COMMERCIAL GENERAL LIABILITY CLAIMS MADE XOCCUR 680-8K396362-18-47 05/29/2018 05/29/2019 EACH OCCURRENCE $ 1,000,00 PTO RENTE5__ REMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 6,00( PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- ❑ JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS-COMP/OPAGG $ 2,000,00 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS LAUTOS 680-8K396362-18-47 05/29/2018 06/29/2019 COMEa aBINED SINGLE LIMIT ccident $ 1,000,000 � BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE er accident (per. $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 3SWEC112813 02/04/2018 02/04/2019 XOTH- STATUTE ER E.L. EACH ACCIDENT $ 11000100 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT I $ 1,000,00 A Professional Liab DN17DPLO191311V 09/15/2017 09115/2018 Ea Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) FTCOLCI City of Fort Collins 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 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD