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HomeMy WebLinkAbout105832 LISTENUP INC - INSURANCE CERTIFICATE (6)Client#: 56603 LISUPIPC
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD/YYYY)12l20l2017
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER NAME:c`r Anallsa Murphy
Holmes Murphy - Colorado PHOpNE 720-622-8245 855-688-0075
A/C No Ext : A/C No
7600 East Orchard Road, Suite 330 South ADDRESS: amurphy@holmesmurphy.com
Greenwood Village, CO 80111 INSURERS) AFFORDING COVERAGE NAIC it
INSURED
ListenUp, Inc.
5295 E. Evans Ave
Denver, CO 80222
INSURER A : Scottsdale Insurance Company 41297
INSURER B : Travelers Indemnity Company 25658
INSURER C : Pinnacol Assurance Company 41190
INSURER D : Travelers Indemnity Co of America 25666
INSURER E : Travelers Property Casuahy Co. America 25674
CnVFRAGFS 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 CONTRACTOR 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.
LTR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS
LTR INSR WVD POLICY NUMBER MM/DD/YYY MM/DD
A
X
COMMERCIAL GENERAL LIABILITY
X
CPS2921714
9/30/2017
09/30/2018
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE X OCCUR
PREMISES E. occcur ence
$1 OO OOO
X
MED EXP (Any one person)
$5 000
BI/PD Ded: $500
PERSONAL & ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY � ECOT I LOG
PRODUCTS - COMP/OP AGG
$2,000,000
$
OTHER:
E
AUTOMOBILE LIABILITY
BA9J05844417SEL
9/30/2017
09/30/201
EOa aBadeDISINGLE LIMIT
1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
X AUTOS ONLY X AUTOS ONLY
B
IAB
X
OCCUR
CUPgJ0585611742
9/30/2017
09/30/2018
EACH OCCURRENCE
s5,000,000
AGGREGATE
s5,000,000
EXCESS LIAB
CLAIMS MADE
DED I X RETENTION $5 000
$ _
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N FN
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N / A
4065550
1 /01 /2018
01 /01 /201
X PER OTH-
sTATuTE ER
$1,000,000
$1,000,000
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
If yes, describe under
DESCRIPTION OF OPERATIONS below
_ _
-- — —_
E.L. DISEASE - POLICY LIMIT
$1,000,000
D
Leased/Rented Eq.
6809JO582961742
9/30/2017
09/30/201
$50,000; $1,000 Ded
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto
Liability.
CERTIFICATE HOLDER CANGELLAIIUN
City of Fort Collins
PO Box 580
Ft Collins, CO 80522-0000
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
ACORD 25 (2016/03) 1 of 1
#S326129/M325857
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
MANV1