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HomeMy WebLinkAboutRB + B ARCHITECTS - INSURANCE CERTIFICATE (2)OP ID: SC .4coRn CERTIFICATE OF LIABILITY INSURANCE DATE/ �►�--�'� 05/0101 /2017Y) 017 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 Phone: 970-223-1804 CONTACT Front Range Insurance Group PHONE FAX 1100 Haxton Drive Suite 100 Fax: A/c No Ext : A/C No): Fort Collins, CO 80525 E-MAIL David A. Wooldridge LUTCFAAI PRODUCER f`IICTnUrR.n.. RB&BI-1 INSURER(S) AFFORDING COVERAGE NAIC # INSURED RB+BArchitects, Inc. INSURERA: RLI Insurance Company Corky Bradley INSURER B 315 E Mountain Ave, Ste 100 Fort Collins, CO 80524 INSURER c INSURER D : INSURER E : INSURER F rr1VFRArFC rFRTIFIrATF NIIMRFP- RFVI.ginN 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 ADDL UB POLICY NUMBER MMLDD/YYVY EXP MMLDDYIYYYY LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X Prof Liab X PSB0007002 RDP0028834 05/01/2017 05/01/2017 05/01/2018 05/01/2018 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,00 ME EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: RO- LOC POLICY X P I PRODUCTS - COMP/OP AGG $ 2,000,00 Prof Liab $ 2M/3 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X PSA0002026 05H5/2017 05/01/2018 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE PSE0003510 05/01/2017 05/01/2018 EACH OCCURRENCE $ 3,000,00 X AGGREGATE $ 3,000,00 DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E.L. DISEASE- POLICY LIMIT -$ $ A Bus Pers Prop/TIB �PSB0007002 05/01/2017 05/01/2017 05/01/2018 05/01/2018 BPP/TIB 1,010,70 Bus Inc ALS DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins has been named as Additional Insured with respects to the General Liability and Auto Liability Policies r9PTIGIr ATF Wnl r1FR rANrFI I ATION CITYF05 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Purchasing Division 215 North Mason Street AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 U 1988-2UU9 AGURD GURPORATIUN. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD