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HomeMy WebLinkAbout433338 RUSSELL + MILLS STUDIO - INSURANCE CERTIFICATE (4)RUSSE-1 OP ID: CK ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 0s/21/zols THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CnuFFQa !'n t'�i'urc „nru rum nrnrtr,nwrr „n, nrn ru,o CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, n-- BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTR-CT BrEl VV=L-N 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 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 endorsemen s . PRODUCER PUI Agency of Colorado, Inc PO BOX 3412 Littleton, CO 80161-3412 Cindy L. King CONTNAMEACT Cind L. Kin PHONE FAX A/C No En : 720-465-9116 A/c Noy 248-553-8305 ADDRESS: cking@profunderwriters.com INSURER S 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 ISSULG INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM NT V1i T Fi K.S CL i iv vvriiCH 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 OF INSURANCE L ADDTYPE POLICY NUMBER (MMDDIYYYY MM DDY EXP LIMITS C COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I)( OCCUR 680-8K396362-18-47 05/29/2018 05/29/2019 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 5100 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECOT- LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS EAUTOS 680-SK396362-18-47 05/29/2018 06/29/2019 EOMeBcNeDtSINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB XCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ RDED AGGREGATE $ 1 1 RETENTION $ $ B WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Ya OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 36WEC112813 02IM2018 02/04/2019 PS X I STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 11000,00 A Professional Liab DN17DPL0191311V 09N6/2017 09/15/2018 Ea Claim 2,000,00 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) r_FRTIPIr_ATF IHAI IIFR CANCELLATION FTCOLLI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD