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Home My WebLink About457775 FARNSWORTH GROUP INC - INSURANCE CERTIFICATE (6)FPSN..... ACO/l & CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 06/04/2018 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 policy(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 1-800-527-9049 CONTACT Linda Bomarito / Audrey McNeill NAME: Y Holmes Murphy and Associates - Peoria 311 S.W. Water Street PHONE 309-683-1065 FAX 888-898-6604 A/C No ADDRESS: AMCNei112holmeemurphy.com INSURERS AFFORDING COVERAGE NAIL Y Suite 211 _ INSURERA:XL SPECIALTY INS CO 37885 Peoria, IL 61602-4108 INSURED _--_---_----- — — INSURERB: Farnsworth Group, Inc. INSURER C INSURER D: 2709 McGraw Drive INSURER E: 1 INSURER F: Bloomington, IL 61704 COVEP.aGES CERTIFICATE NUMBER: 52983983 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. INSRTR L TYPE OF INSURANCE ADD SUER POLICY NUMBER MM/DDY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE i CLAIMS -MADE D OCCUR PREM SES Ea oNccurrence $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY D JEC7 LOC PRODUCTS - COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par accident : HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE _H DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNERIEXECUTIVE a OFFICER/MEMBEREXCLUE N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liability DP119925613 06/15/18 06/15/19 Each Claim 5,000,000 (Claims Made) Aggregate 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) FTC There is a 30 day notice of cancellation. Farnsworth Group, Inc. Project Manager Eric Culver CERTIFICATE HOLDER CANCELLATION 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. P.O. BOX 580 AUTHORIZED REPRESENTATIVE 215 N. Mason Fort Collins, CO 80524 USA 01988-2015 ACORD CORPORATION. All rights reserved. MRM N L.r.. O N N r z W ACORD 25 (2016/03) lbomiaritoil 52983983 The ACORD name and logo are registered marks of ACORD