HomeMy WebLinkAboutSKUMATZ ECONOMIC RESEARCH ASSOCIATES INC - INSURANCE CERTIFICATE~--_� 4,
Ate= a CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/'YYYY)
2/12/2018
THIS CERTIFICATEIS 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
TAGGART&ASSOCIATES INC/PHS
,
342321 P: F:
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME:
PHONE
(A/C, No, Ext):
FAX
(AlC, No):
FDADDDRR ESS:
INSURER(S) AFFORDING COVERAGE NAIGt
INSURER A: Hartford Caslldlty Ins CO
INSURED
SKUMATZ ECONOMIC RESEARCH ASSOCIATES,
INC.
762 ELDORADO DR STE 100
SUPERIOR CO 80027
INSURERS: TW1I1 City Fire Ins CO
INSURER C:
INSURER D
INSURER E:
INSURER F:
COVFRAGFS 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.
LYSR
7YPE0FLNSUR�LN(E-
.ADD!
SUAR
POL!(TNUMBL'R
POLATEFF
(M.*DD/YYY
POLICTEXP
LL1117S
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
52, 000, 000
CLAIMS -MADE rIOCCUR
DAMAGE RENTED
PREMISESS((Ea occurrence)
5300 000
�
X
X
M ED EXP (Any one person)
gJor000
A
General L1ab
34 SBA PA5100
03/12/2018
03/12/2019
PERSONAL & ADV INJURY
52,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO- [_X]LOC
JECT
GENERAL AGGREGATE
54 , 0 0 0 , 0 0 0
PRODUCTS - COMP/OP AGG
s4,000,000
OTHER:
AUTOMOBILE LIABILITY
A
COMBINED SINGLE LIMIT
(Ea accident)
2 000, 000
r
BODILY INJURY (Per person)
5
ANY AUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
34 SBA PA5100
03/12/2018
03/12/2019
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
5
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
DE
RETENTION $
WORSF.PS GY0M11P - SATION
X PER OTH--
STATUTE ER
:1V'DFVPI,0T1WSLL9OILr1T
ANY PROPRIETOR/PARTNER/EXECUTIVEY/N
E.L. EACH ACCIDENT
11, 000, 000
B
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
NIA
3 4 WEC GM519 ,a
03/12/2017
03/12/2016
E.L. DISEASE -EA EMPLOYEE
$]. 000 000
r r
If yes, describe under
E.L. DISEASE - POLICY LIMIT
' 1 0 0 0 0 0 0
DESCRIPTION OF OPERATIONS below
, ,
DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICPMRD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations.
It HUILUtK
City of Fort Collins
Attn: James B. O'Neill
PO Box 580
Fort Collins, CO 80522
liAlYIiCLW 1IV1Y
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
CORPORATION. All riahts resery
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD