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HomeMy WebLinkAbout127605 SKUMATZ ECONOMIC RESEARCH ASSOCIATES INC - INSURANCE CERTIFICATE (6)A� CERTIFICATE OF LIABILITY INSURANCE 2�l �20 7) THIS CERTIFICATEIS 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 endorsements . PRODUCER TAGGART & ASSOCIATES INC/PHS 342321 P: F: PO BOX 33015 SAN ANTONIO TX 78265 I CONTACT NAME: PHONE FAX ADDRESS: INSURER(S) AFFORDING COVERAGE NAICu INSURERA: Hartford Casualty Ins CO INSURED SKUMATZ ECONOMIC RESEARCH ASSOCIATES, INC- 762 ELDORADO DR STE 100 SUPERIOR CO 80027 INSURERB: Twill City Fire Ins CO INSURERC: INSURER D : INSURER E: INSURERF COVERAGES CERTIFICATE NUMBER: 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,EXCLUS IONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 117VSR IYPE DFINSURANCE ADDL SUER POLICYNUMBER Folu("YEFF POLICYEXf' LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 21 0 0 01 0 0 0 CLAIMS -MADE � OCCUR DAMAGE TO PREMISESS ( (Ea occurrence) v 300,000 X X MED EXP (Any one person) 5101 000 A General L1ab 34 SBA PA5100 03/12/2017 03/12/2018 PERSONAL & ADV INJURY 72, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4, 000, 000 POLICY PRO- ❑X LOC PRODUCTS - COMPIOP AGG ; 4 t 0 0 0 , 0 0 0 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 52 O O O O O O r i BODILY INJURY (Per person) ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 34 SBA PA510 0 03/12/2017 03/12/2018 BODILY INJURY (Per accident) ; PROPERTY DAMAGE (Per accident) X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA L1AB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS -MADE AGGREGATE DE RETENTION's ffi0l7Ke RY COd0EN5a71n N R.VD ENPLO:ERY'LL4M rry PER OTH- X STATUTE ER ANY PROPRIETORIPARTNERIEXECUT'IVEYIN E.L. EACH ACCIDENT ' 1 000Q B OFFICERMEMBEREXCLUDED? (Mandatory in NH) ❑ IVA 34 WEC GM5199 03/12/2017 03/12/2018 E.L. DISEASE-EAEMPLOYEE '1� 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT `]„ 0 0 0 , 0 0 0 DESCRIPTION OF OPERA TIONS/LOCATIONS/VEHIC(NORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Fort Collins Y BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- Attn: James B . O'Neill AUTHORIZED REPRESENTATIVE ` PO Box 580 - Fort Collins, CO 80522 c01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD