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HomeMy WebLinkAboutDC SOUND SYSTEMS INC DBA NATIONAL SPEAKER AND SOUN - INSURANCE CERTIFICATE (2),4coRv® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 6/9/2017 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 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 CONTACT NAME: Welona Souza Commercial Risk Solutions PHONE 303-996-7828 FAX 303-996-7851 6600 E Hampden Ave Ste 200 (E Mahn, E"U' - —99 — Denver CO 80224 . v souza@crsdenver.com INSURED DC Sound Systems, Inc. dba National Speaker and Sound 2369 S. Trenton Way Unit N Denver CO 80231 DCSOU-1 A:Pinnacol Assurance SURER D : SURER E : /`!l\/FDAl:FC CFDTICI('ATF NI IMRFD• 11722079g9 DFVICIr)N NI IMRFD- _ N_AIC # - 141190 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 OF INSURANCESUB AVXTYPE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MMIDDIYYYYI I i LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR I EACH OCCURRENCE $No Coverage A AGE To RENTED PRE' M ISaoccuence) ES(E..."...) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: - POLICY L JJECT L_� LOC OTHER GENERAL AGGREGATE $PRO PRODUCTS_- COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY __ AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Ea accident) 0MBINEDIN L I - BODILY INJURY (Per person) $No Coverage $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ _ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $No Coverage AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERA)! MBER EXCLUDED' N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4033794 2/1/2017 2/1/2018 X STATUTE E.L. EACH ACCIDENT $500,000 ------- E.L. DISEASE - EA EMPLOYE --- - --- $500,000 E L DISEASE - POLICY LIMIT $500,000 I I DESCRIPTION OF OPERATIONS t LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Senior Center AN Project. All policy terms, conditions and exclusions apply. CERTIFICATE HOLDER CANCELLATION City of Fort Collins 215 N. Mason Street Fort Collins CO 80521 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD