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HomeMy WebLinkAbout105832 LISTENUP INC - INSURANCE CERTIFICATE (5)DATE (MM/DD-) � CERTIFICATE OF LIABILITY INSURANCE O1/03/2017 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 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 Willis of Colorado, Inc. CONTACT NAME: c/o 26 Century Blvd PHONE FAX !AIC1-877-945-7378 1-888-467-2378 P.O. Box 305191 No. Exth AIC Nol: E-MAIL certificates@xillis.com Nashville. TN 372305191 USA ADDRESS: INSURED ListenOp Inc. 5295 E Evans Avenue Denver, CO 80222 INSURE S AFFORDING COVERAGE NAIC# INSURERA: Trawlers Property casualty company of America 25674 INSURERS: Travelers Casualty and Surety Company 19038 INSURER C: Plnnacol Assurance Company 41190 - -I INSURER E : COVERAGES CERTIFICATE NUMBER: W1890910 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 SUER POLICY NUMBER POLICY EFF MM/DDlYYYY POLICY EXP MM/DD YY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FKOCCUR DAMAGE TO RENTE-D- PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 A Y 680-7427R464-16-42 09/30/2016 09/30/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO❑LOC JECT X 2,000,000POLICY $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO H OWNED SCHEDULED AUTOS ONLY AUTOS, Y BA-709OH533-16-SEL 09/30/2016 09/30/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY '', $ A j( UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE I $ 5,000,000 EXCESS LAS CLAIMS -MADE CUP-1862Y452-16-42 09/30/2016 09/30/2017 DIED I X I RETENTION $ 5, 000 Is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? No (Mandatory in NH) N/A 4065550 01/01/2017 01/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT _ _ $ 1,000,000 i DESCRIPTION OF OPERATIONS ! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability. ULK I It-IUA I It MULUtK LANI tLLA I IUN 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 ty of Fort Collins Box 580 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 13883204 RATCB: Batch fi: 275299