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HomeMy WebLinkAboutRUBINBROWN LLP - INSURANCE CERTIFICATE (3)AcoRO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/] 6/2017 1 1 / 15/2016 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 L.00ktOn Companiesa — CO T NAMES Three City Place Drive, Suite 900 AX A/c, No, EXtL,(A C, No): St. Louis MO 63141-7081 _ _ (314) 432-0500 ADDRIESS: _ INSURER(S) AFFORDING COVERAGE NAIC # _ INSURER A : National Fire Insurance Co of Hartford 20478 INSURED Rubin Brown, LLP INSURER B : The Continental Insurance Company 35289 1387500 One North Brentwood Boulevard St. Louis MO 63105 INSURER C : — — INSURER D — INSURER E : INSURER F. COVERAGES CERTIFICATE NUMBER_ 1171 12R6 RE-JI!z:^NI 1JIIRIIRCD- VVVVYYY 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 INSD SUER WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS ,a X COMMERCIAL GENERAL LIABILITY N N 6043655949 11/16/2016 11/16/2017 EACH OCCURRENCE 1 ,000,OOO CLAIMS -MADE w1 OCCUR PREMISETO S ((Ea RENTED _ 500,000 L^^ �I I MED EXP (Any one person 15,000 I PERSONAL & ADV INJURY $ 1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000 000 POLICY JECT LOC u PRODUCTS - COMP/OP AGG $ 2,0.00,000 OTHER: AUTOMOBILE i-IABIL.iTY Ea accident) SINGLE LIMIT $XXXXXXX BODILY INJURY (Per person) $ XXXXXXX ANY AUTO NOT APPLICABLE OWNED SCHEDULED f AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XXXXXXX 11 HIRED NON-OAUTOS ONED AUTOS ONLY AUTOS ONLY LY PerOaccldenDAMAGE $ XXXXXXX $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ xxxxxXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE AGGREGATE $ x'x'}{} xxx DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N 4013789960 11/16/2016 11/16/2017 _ X STATUTE OER ! YIN E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) If yes, descnbe under E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 E.L. DISEASE - POLICY LIMIT I n R 1,(100,OOlr DESCRIPTION OF OPERATIONS below — DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) A THIRTY (30) DAY NOTICE OF CANCELLATION FOR GENERAL LIABILITY COVERAGE WILL BE PROVIDED FOR REASONS OTHER THAN NON-PAYMENT OF PREMIUM. 13711286 CITY OF FORT COLLINS PURCHASING FINANCIAL SERVICES PURCHASING DIVISION 215 N. MASON ST. 2ND FLOOR PO BOX 580 FORT COLLINS, CO 80522 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 -00 ACORD 25 (2016/03) ©1988-2&t�FACORD COTZ7-ORATION. All rights reserved The ACORD name and logo are registered marks of ACORD