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HomeMy WebLinkAbout525153 CONCEPT SIGNS & GRAPHICS - INSURANCE CERTIFICATE09/26/2017 15:32 FAX 19706636801 ALBRECHT INS 10001 CERTIFICATE OF LIABILITY INSURANCE nATE(M09126117 MIDWYIYY) THIS CERTIFICATE IS ESSUED AS A MATTER OF INFQRMA7►ON 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), AUTHORv_EI:) 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 CONTACT TERRIGIBSON NAME:........---....................................._....—_.__......,,..,... _.._......._.._. PHONE FAX -....._.... . Northern Colorado Ins Srvs Inc AN , NQ.A;9. (970) 622-9734 (nrc,.Npy. (970) 6�33-fi801 f..:,MAH_ teni.nrisE@gmail.corn 525 N Denver Ave I..k1RU.RES:S:_......._..:.-....t n................... Loveland, CO 805:17..........................INSURER(5}AFFORDING COI/ RA4E__._,...,......,,_.,....,...,._._...._......._NA C.i<.-'.-- Phone (970) 622-9734 Fax (970) 663-6801 INSURER A : Auto -Owners, -Owners Company 32700 INSURED INSURER a : Auto Owners - Owners Company 32 700 .......... ..................................... _._._.._._.......................... .... —... .._...__.._.—_._... -----._._....._ Eversign, LL.0 DBA Concept Signs & Graphics INSURER C.;,,.__ Travelers 4514 VV O St iNsuRFIt p Greeley, CO 80631-9460 INSURER. E : _..__.__................. INSURER F : _...,.—_._. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TIiIS IS TO CERTIFY THAT THE POI.,tCIES OF INSURANCE LISTED BEI..OW HAVE BEEN ISSUED TO THE INS!)R£D 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. _._.__....__...._...- ' --...—_.........._._.._-.._........I......................--_...- — ._,.._-........... ----- ...,...._.......,.._..... - '-- — -- NSR--�-�--� —!ApDLSUBR ! POLICYEFF POLICYEXP LIMITS TYPE OF INSURANCE i POL{CY NUMBER {MrJUD,DfYYYY) 1MM,IDDIYYYY.I...........__..................................._—........_._......_.......................... ... JR....._........--.._..._...._......-------- - .... ............L1N RTNLYD.........._,....._.__,._............ ... __........................ GENERAL LIABILITY EACHOCCURRE:NCF. s 1,000,000.00 DAMAC;,E TYS R}::F}T'ECl E 300.0(9).0 �) (.:OMMEI2GAL GENERP.I.. LIABILIT-Y._PRFMISC.j..{1;.7__xx:Enrmirel._......._....,.._....,_.......,...,..._ ._..__...... I I,„.i CLAIMS-MAM- OCCUR A I _� ! 74283121 MED EXP (Ally one person $ 10,000.00 09/26/2017 09/2612018 PI=RSONAL R ADV IN.IURY s 1,000,D0000 _............. ....... ......- - ----...,._........,............I— ___ I I i GEiNE:RAI_ AGGREGATE s 2,0W.000.00 ......................._._.........._.........._....................................... I...............,........_.....__................---_-,...,........................... rr-roMPIOP AGs 2,000, 000.00 GEML AGGREGATE LIMIT APPLIES PER. .---............. ............................. ( i PRO POLICY ' L...—., S COMBINED 51tJGL.E LIMIT E 1000,000 00 AUTOMOBILEL1A8r1.lTY (Ea_ac incNp�----.................5.........t....._...------..._.. ,�/ ANY A(JFO BODILY INJURY (Per persc)l) S ..................................... I .................. _.... _ .......... ,,..................... I ......... .... ALL OWNED I � SCHEDULED 49'2831210() R00II_YrNJURYlPeirx..rklenl. s B AI.FT0S I... EutrOs O912b12185 09/26/2D1B... ....._....-......-,...._......................_................................_........,................... NON-OWNEf.I I PROF'ERl'Y DAMAGE S Id HIREDAU'I'OS %_I AUTOS _ U:AMC/HUlIM $ �00.0._00.0.. 00 ...... UMBRELLA LIAR t�CCUR r i OC. ...................................... .._J.'--- $ 1,000"000.W............ EXCESS LIAR 0711412017 07/14/2018 AGGREC.;ATE ....., s 2,000,000.00 .. . _._........._._..........: _........_.._....__.._..,..., _L. ,,_,RETENTION S _.. _ .. ..__ . ........ _._.................. ........ ...............�.......G PRO / _ L C) COMP _ A STATU OTlF E 2,000,000.00 WORKERS COMPENSATION r WC I IS2S3 111011f:a'.....�,.,• .;EEL. �._—._..... .........: ... AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PAR-rNEiR/EXECIlTIVE I I i Ufa-8E946142 O'112212018 E.l, EACFI ACC:IIDENT .........._._...._._.._.................................._ s 100,(N)0.00 —......._._._..._._.....__...,,...... OFFICER/MEMBER EXC-LUDEW (Mandatory In NH) �.........�' N / A I 07/2212017 E!. DISEASE fA EMPLOYE. ....._..........._.............._...,.,.. ...._._...... s 1 OO.IH)0.0D _........_......_...,._._....._._........... If yyE15, daseflh!? Un(M:f MS.OF OPE-.RATIONS.betow E L. DISEASE - POI,lC.Y LIMIT $ 500,0()D.OI) ....—L........_............................._................................ _....._..__...,.... ....t.....i......_.....i_............._................._............_...-'-"-'._..__......__...,.....,.._....._........_...._....._-.. ............._......-_.....-_- DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CITY OF FORT COLLINS PO BOX 580 1 FORT COLLINS GO 80522 _....... _....—'- ACORD 25 (2010105) OF CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEI ORE: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. .......... ........._._........ ............... ................. .............. ........... _..... ..__....... ................. ............ .................................,...,............_..._ AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All righ s rnser%ad. The ACORD name and logo are registered marks; of ACCIRD