HomeMy WebLinkAbout518297 SLATE COMMUNICATIONS - INSURANCE CERTIFICATE (3)A� CERTIFICATE OF LIABILITY INSURANCE 7213/2017
(MM/DD/YYYY)
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 CONTACT Teresa Berry,CISR
NAME:
FAX
Flood and Peterson PHCNN xt: (970) 356-0123 A/C No: (970)330-1867
PO Box 578 E-MAIL TBerry@FloodPeterson.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
Greeley CO 80632
INSURED
SLATE COMMUNICATIONS
425 W MULBERRY, STE 201
INSURERA:Hanover Insurance Company 22292
INSURER B :Pinnacol Assurance.
INSURERC:Philadelphia Indemnity Insurance 18058
INSURER E :
FORT COLLINS CO 80521 1 INSURERF: I I
rAvroAr�c /`CQTICI!`ATC Kit IRRRC0•CT.1791 i1 9142 RRVISI(11J NI IMRFR-
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 DD YYY
POLICY EXP
MM/DDNYYYI
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE FX] OCCUR
DAMAGE To RENTED
PREMISES (E. occurrence)$
MED EXP (Any one person)
$ 5,000
OH49885990
3/18/2017
3/18/2018
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OPAGG
$ 2,000,000
X PRO -
POLICY PRO FI LOC
Non -owned
$ 1,000,000
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
A
ANY AUTO
ALL OWSCHEDULED
OWNED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
OH49885990
3/18/2017
3/18/2018
BODILY INJURY (Per accident)
$
PROPERTYDAMAGE
$
—
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE- EA EMPLOYE
$ 11000,000
B
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N / A
4184845
8/1/2016
8/1/2017
E.L. DISEASE - POLICY LIMIT
$ 11000,000
It yes, describe under
DESCRIPTION OF OPERATIONS below
C Professional Liability
PHSD1207425
2/7/2017
2/7/2018
Limit $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate holder is included as Additional Insured as required by written contract with respects to
General Liability.
QhK I IFIUA I t t1ULUtH1 %1M110+CLLH I IVI`1
City of Fort Collins
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
T Berry, CISR/TBERRY c.
U 1925S-ZU14 AL:UHU l.:UKI'L)KA 1 IUI I. Ail rlgnr5 reserves.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
N S025 (201401)