HomeMy WebLinkAbout310503 ECONOMIC & PLANNING SYSTEMS - INSURANCE CERTIFICATE (8)DATE (MM!DD'YYYY)
ACOR" CERTIFICATE OF LIABILITY INSURANCE
ill 3113/2018
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 endorsements .
PRODUCER CONTACT
NAME:
Andreini & Company -San Mateo PHONE_.-
220 West 20th Ave 650-573-1111 A c Na): 650-378-4361
San Mateo CA 94403 E-M RILES ktotten andreini.com
INSURED ECONO-5
Economic & Planning Systems
400 Capitol Mall, 28th Floor
Sacramento CA 95814
COVERAGES
CERTIFICATE NUMBER:1n7R.S37nno
INSURERtS)_AFFORDING COVERAGE NAIC 4
Federal Insurance Companv 20281
INSURER c : Continental Casualt r_Company _ 20443
INSURER D :
INSURER E :
INSURER F :
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.
ILTRTYpEOFINSURANCE � POM YEFF POLICY-EXP LIMITS
LTA POLICY NUMBER M/ D/YYYY
A
X COMMERCIAL GENERAL LIABILITY
35929623WCE
4111"18
41112011
EACH OCCURRENCE
$1,000,tX)D
CLAIMS -MADE LXJ OCCUR
I
DAMAGE TO RENTED
PREMISES,tEaoccurrenca�_
$1 700.000—
MED EXP lAny one son)
$10,000
PERSONAL & ADV INJURY
$excluded
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$3.000,000
F—x7�
PRO -
POLICY JECT LOC
PRODUCTS COMF'OP AGG
- _
$ 3.000,000
OTHER: Per Pro'ecdLoc
i
Per Project A
00-
A
AUTOMOBILE LIABILITY
ANY AUTO
73558746
4/1/2018
41V2019
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
Is
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
$
BODILYINJURY (Per accident)
__.._
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTYDAMAGE
Per accident)_,_-__—_
$
$
A
UMBRELLALIAB
X
OCCUR
79871994
4 L20t8
4;tt2019
EACH OCCURRENCE
$1,Do0,000 T
X
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
$
DED I I RETENTION
$
g iWORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
I6150815
4/1/2018
41112019
'PER STATUTE ERA
ANYPROPRIETr)R PARTNERIEXECUTIVE
E.L. EACH ACCIDENT $1,000.000
OFFICER. MEMBER EXCLUDED?
(Mandatory In Nil
N/A
E.L. DISEASE - EA EMPLOYEE $1.000.000
_._— --
E.L. DISEASE - POLICY LIMIT $1.000,000
If you describe under
0 vs.OF OPERATIONS below
C Errors & Omissions
425343942
4/112018
4/112019
Per Claim 2,000,000
Adv/Personal Injury
i
Annual Aggregate 2.000,000
DESCRIPTION OF OPERATIONS i LOCATIONS; VEHICLES (ACORD tot, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is named Additional Insureds as respects General Liability per attached form 80-02-2367.
EPS #143002 - Fort Collins On -Call Financial Services
GER I ll I E HOLDEN GANGtLLA I ION
City of Fort Collins
Financial Services Purchasing Div
215 N Mason St 2nd FL
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
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