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Home My WebLink About541166 REVOLUTION ADVISORS LLC - INSURANCE CERTIFICATE (5)ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE /23/2018 Y) (MM o123/018 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 CONTACT KETURAH MCGHEE NAME: StateFarm JEN PARIS STATE FARM INSURANCE 756 S BOULDER RD SUITE 500 PHONE N 303-665-2206 o Extiffi ac No: 303 648-6998 ADDRESS: KETURAH@JENNIFERPARIS.COM INSURERS AFFORDING COVERAGE NAIC # INSURERA: State Farm Fire and Casualty Company 25143 LOUISVILLE, CO 80027 INSURED INSURER B : State Farm Mutual Automobile Insurance Company 25178 INSURER C : REVOLUTION ADVISORS LLC INSURERD: 10170 CHURCH RANCH WAY UNIT 100 INSURER E : WESTMINSTER, CO 80021 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDD/YPOLICY E YYY MM/DDfYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL a ADV INJURY $ 6,000,000 A Y Y 96-CG-H860-9 04/08/2017 04/08/2018 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY 337 1565-B17-06D 02/17/2018 08/17/2018 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ 1,000,000 ANY AUTO BODILY INJURY (Per accident) $ 1,000,000 B OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ 1,000,000 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE 96-B6-G239-8 04/08/2017 04/08/2018 DED I I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) N /A 96-CG-H870-0 04/08/2017 04/08/2018 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 5,000,000 A PROFESSIONAL LIABILITY PS000003957603 11/03/2017 11/03/2018 WRONGFUL ACT 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) L:tK 1 It -RA I t MULUtK CITY OF FORT COLLINS 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. 15 All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1DO1486 132849.12 03-16-2016