Loading...
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)