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HomeMy WebLinkAboutCOLORADO UTILITY FINDERS INC - INSURANCE CERTIFICATE (3)---ON COLOR06 OP IDm ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/ 06/2018 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 970-674-8825 CONTACT Scott P. Runyan Renaissance Insurance Group PHONE 970-674-8825 FAX 970-674-8826 P O Box 478 (A/C, No, Ext): aC, No): 1349 Water Valley Pkwy., #200 ADDRE : srunyan@reninsurance.com Windsor, CO 80550 Scott P. Runyan INSURERS AFFORDING COVERAGE NAIC # INSURER A: Liberty Mutual Insurance Group 41785 INSURED Colorado Utility Finders Inc. INSURER B : Artisan & Truckers Casualty Co Suzy Sweney Pinnacol Assurance 41190 324 Boulder Lane INSURER C Johnstown, CO 80534 INSURER D : INSURER F : COVERAGES CERTIFICATE NUMBER: 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, INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTIR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR _ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FX7 PEef LOC OTHER. Y Y BKS58443383 12/01/2017 12/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 300,000 MED EXP (Any oneperson) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y Y 06382049-0 12/07/2017 12/07/2018 COMBINED SINGLE LIMIT ..;dent 2,000,000 $ $ $ 'i BODILY INJURY Perperson) BODILY INJURY Per accident PReOaPER DAMAGE $ A X UMBRELLA LIAB EXCESS LIAB OCCUR ESO58443383 12/06/2017 12/01/2018 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A Y 4181016 03/01/2018 03/01/2019 X PERSTATUTE R E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE 1,000,000 $_ 1,000,000 E.L DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Wording is Subject to Policy Forms, Conditions, Definitions and Exclusions. CERTIFICATE REPLACES ANY PRIOR CERTIFICATES. SEE PAGE 2 City of Fort Colllins P.O. Box 580 Fort Collins, CO 80522 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HOLDER CODE NOTEPAD, INSURED'S NAME Colorado Utility Finders Inc. COLOR06 PAGE 2 OP ID: KB Date 03/06/2018 Certificate Holder, and others as required in written contract with Insured, are Additional Insureds regarding the General Liability and Auto Liability. Waiver of Subrogation applies to the General Liability, Auto Liability and Workers' Compensation. General Liability is Primary/Non- Contributory. Umbrella/Excess coverage is "Follow Form" of the underlying coveragse.