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HomeMy WebLinkAboutCOLORADO UTILITY FINDERS INC - INSURANCE CERTIFICATE (4)COLOR06 OP ID: KLJ ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 11/02/2017 Y) 11102/2017 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 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 CONTANAME: CT Scott P. Runyan Renaissance Insurance Group PHONE FAX P O Box 478 .0 No E1 : 970-674-8825 A/C No): 970-674-8826 101 E Main Street E-MAIL Windsor, reef ADDRESS: srunyan@reninsurance.com Scott P. Runyan INSURERS AFFORDING COVERAGE NAIC # INSURER A: Acuity Insurance 14184 INSURED Colorado Utility Finders Inc. INSURER 8: PInnacol Assurance 41190 Suzy Sweney 324 Boulder Lane INSURERC: Johnstown, CO 80534 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NLJMRFR- RFVISION NIIMRFR- 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 A L UBR POLICY NUMBER LI POCY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE I —XI OCCUR X X L70556 11/04/2017 11/04/2018 DAMAGE TRENTE PREMISES Ea occurrence $ 25000 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,00 POLICY � JECOT- [::] LOC PRODUCTS - COMP/OP AGG $ 3,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ccident a $ 1,000,00 BODILY INJURY (Per person) A X ANY AUTO X X L70556 11/04/2017 11/04/2018 $ ALL OWNED SCHEDULED AUTOS AUTOS $ BODILY INJURY (Per accident) PROPER -DAMAGE Per accZident X X NON -OWNED HIRED AUTOS AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 A EXCESS LIAB CLAIMS -MADE L70556 11/04/2017 11/04/2018 DED X RETENTION $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A X 181016 03/01/2017 03/01/2018 X PER TH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 A Equipment Floater L70556 11/04/2017 11/04/2018 Per Item 100,00 Total 300,00 DESCRIPTION OF OPERATIONS / LOCATIONS / 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. SEE PAGE 2 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Colllins ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE JAInp ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD NOTEPAD, HOLDER CODE COLOR06 INSURED-S NAME Colorado Utility Finders Inc. OP ID: KLJ PAGE 2 Date 11 /02/2017 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