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RB+B ARCHITECTS INC - INSURANCE CERTIFICATE (2)
OP ID: TA ACORO CERTIFICATE OF LIABILITY INSURANCE D04/23/2018ATE Y) 04/23/2018 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 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). CONT PRODUCER Phone: 970-223-1804 NAMEACT Front Range Insurance Group PHONE FAX 2002 Caribou Drive, Ste. 101 Fax- ac No Exc : AJC No : Fort Collins, CO 80525 E-MAIL ADDRESS: David A. Wooldridge LUTCFAAI PRODUCER RB&BI-1 CUSTOMER,,,: INSURER(S) AFFORDING COVERAGE NAIC # INSURED RB+B Architects, Inc. INSURER A: RLI Insurance Company Corky Bradley INSURERS: 315 E Mountain Ave, Ste 100 Fort Collins, CO 80524 INsuRERc: INSURER D : INSURER E : INSURER F : rnVFRAf.FC CFRTIFIrATF NI IMRFR• RFVIRIf1N Nl IMRFR- 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX7 OCCUR X Prof Liab X PSB0007002 RDP0032419 05/01/2018 05/01/2018 05/01/2019 05/01/2019 EACH OCCURRENCE $ 1,000,00 Am PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY XFrl PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,00 Prof Liab $ 3M/5 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X PSA0002026 05/15/2018 05/01/2019 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X $ A X X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PSE0003510 05/01/2018 05/01/2019 EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000,00 DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ D? OFFICER/MEMBER EXCLUDE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A OTH- TORWC Y SLIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E-L. DISEASE - POLICY LIMIT $ A Bus Pers Prop/TIB PSB0007002 05/01/2018 05/01/2018 05/01/2019 05/01/2019 BPPITIB 1,010,70 Bus Inc AL DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins has been named as Additional Insured with respects to the General Liability and Auto Liability Policies CITYF05 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division 215 North Mason Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD