HomeMy WebLinkAbout608803 RPR CONTRACT SERVICES LLC - INSURANCE CERTIFICATE'' `COR" CERTIFICATE OF LIABILITY INSURANCE 3IZ8/ZO18 DIYYYY)
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 endorsements .
PRODUCER CONTACT
NAME:
Arthur J. Gallagher Risk Management Services, Inc. PHONE 303-295-1700700 17th Steet Suite 675 UVCIN104 FA't 3 03-295-2121
Denver CO 80202 ADDRIESS:
INSURER(S) AFFORDING COVERAGE NAIL t
INSURED
RPR Contract Services LLC
15403 East 17th Ave., Suite F
Aurora CO 80011
RPRCONT-01
D:
Cincinnati Insurance
Pinnacol Assurance
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10677
41190
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.
LTR
ILTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIDD/YYYY
POLICY EXP
MMlDDIYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE C OCCUR
$500 PD Ded,
ENP0431710
3/29/2018
3/29/2019
EACH OCCURRENCE
$1,000,000
PREMISES (Ea
E500,000
X
MED EXP (Anyone person)
$10,000
X
Al - GA233CO
PERSONAL & ADV INJURY
$1,000,000
GENT
AGGREGATE LIMIT APPLIES PER:
POLICY 7 PECOT- 17 LOC
OTHER:
GENERAL AGGREGATE
52,000,000
PRODUCTS - COMP/OP AGG
E 2,000,000
S
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
ENP0431710
3/29/2018
3/29/2019
TZOMBINED SINGLE LIMIT
Ea accident
E 1,000,000
X
BODILY INJURY (Per person)
S
BODILY INJURY Per accident
( )
E
X
per .ER
$
S
A
X
UMBRELLA LAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
ENP0431710
3/29/2018
3/29/2019
EACH OCCURRENCE
52,000,000
AGGREGATE
52,000,E
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE "NIA
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
4200287
4/1/2018
4/1/2019
X STATUTE EORH
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEE
$500,000
E.L. DISEASE - POLICY LIMIT
$500,000
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
City of Fort Collins is Additional Insured as respects General Liability and Auto Liability policies, pursuant to and subject to the policy's terms,
definitions, conditions and exclusions.
UER I IFIGAI I= HOLDER CANCELLATION
City of Fort Collins
P.O. Box 580
Fort Collins CO'80522
USA
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 REPRESENTATIVE
0 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD