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HomeMy WebLinkAbout433338 RUSSELL + MILLS STUDIO - INSURANCE CERTIFICATE (3)RUSSE-1 OP ID: CK '4CORO CERTIFICATE OF LIABILITY INSURANCE r ATE(M06/2112018 `-� /2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER- a+n o+n+,To ++mina+ TuG IGOTICl/ATC IJfV ACO TLIIQ CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E) .e BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTI?ot 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 endorsemen s . PRODUCER PUI Agency of Colorado, Inc PO Box 3412 CONTACT NAME: Cindy L. Kin PHONE 720-465-9116 N, : 248-553-8305 AIC No Ext now e ss: cking@profunderwriters.com Littleton, CO 80161-3412 Cindy L. King INSURERS AFFORDING COVERAGE NAIC S 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 TO L_ ` INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OROTHER�DOCUMENT 'rvii�iTr.IS I 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 MIUDDNYCY YY ICY EXP MM% DNYYY LIMITS C COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 680-8K396362-18-47 05/29/2018 05/29/2019 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTEIT_ PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 17 PRO - POLICY 7 LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ C AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS NON-0WNED X HIRED AUTOS X AUTOS 680-8K396362-18-47 06/29/2018 06/29/2019 EaMaccidentBINEDSINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NMI If yes, describe under DESCRIPTION OF OPERATIONS below NIA 35WEC112813 02/04/2018 02/04/2019 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E. L. DISEASE -POLICY LIMIT $ 1,000,00 A Professional Liab DN17DPL0191311V 09/15/2017 09/15/2018 Ea Claim 2,000,00 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) FTCOLLI City of Fort Collins Purchasing Division 215 N. Mason Street, 2nd Floor PO BOX 58 Fort Collins, CO 80522-0580 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 REPRESENTA�TI-V+E-� 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD