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