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HomeMy WebLinkAbout309311 CAPSTONE PLANNING & CONTROL INC - INSURANCE CERTIFICATE (9)17� (MNVDD/YYYY) A`C"R" CERTIFICATE OF LIABILITY INSURANCE 19/2017 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 Ellie Jeffers NAME: _ Taggart and Associates, Inc PHH NE .Ext): (303) 442-1484 � No: (303)442-8822 .AL1600 Canyon Boulevard ADDRESS:elliej@taggartinsurance.com P . 0. Box 147 INSURERS AFFORDING COVERAGE NAIC # Boulder CO 80306 INSURER A:Liberty Mutual Insurance Company 23043 INSURED INSURERB:Darwin Select Insurance COmDanv 24319 Capstone, Inc. INSURERC: Capstone Planning 6 Controls INSURERD: 11001 W. 120th Ave, Suite 220 INSURERE: Broomfield CO 80021 INSURERF: COVERAGES CERTIFICATE NLJMRFR-17-18 Master REVISION Nt1MRFR- 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 UBR POLICY NUMBER EFF M/DDYYYY MPOLICY M ICY EXP DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE F_x1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 X BZS57655994 1/6/2017 1/6/2018 _ PERSONAL & ADV INJURY $ 1,000,000 GEN'L GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 " POLICY PRO- f� 17 JECT a LOC Hired & Non -Owned Auto $ 1,000,000 OTHER: AUTOMOBILE LIABILITY MBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Par person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS BZS57655994 1/6/2017 1/6/2018 X PROPERTY DAMAGE $ X NON -OWNED HIRED AUTOS AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 A EXCESS LIAB CLAIMS -MADE IDED X RETENTION$ 10,000 $ BZS57655994 1/6/2017 1/6/2018 WORKERS COMPENSATION R THI- XSTATUTE I ER AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A US057655994 1/6/2017 1/6/2018 E.L. DISEASE- - EA EMPLOYE — III1� 000� 000 _.-- Ityes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 B Errors & Omissions 03067192 6/2/2017 6/2/2018 General Aggregate $5 , 000 , 000 Deductible $25, 000 Each occurrence $5, 000, 000 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 additional insured to the General Liability coverage as required by written contract. A 30 day notice of cancellaton will be provided to the certificate holder. CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 Eileen Jeffers/BEH ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)