HomeMy WebLinkAbout319162 KRFC PUBLIC RADIO STATION - INSURANCE CERTIFICATE (11)CERTIFICATE OF LIABILITY INSURANCE
DATE (NINUDD/Y YYY )
12/5/2016
THIS CERTIFICATEIS 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
INSURANCE NOODLE LLC/PHS
554080 P: F: (888) 443-6112
PO BOX 29611
CHARLOTTE NC 28229
CONTACT
NAME.
(A/C.N..Ext):
(AI .No): (888) 443-6112
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC,Y
INSURER A: Hartford Casualty Ins Co
INSURED
KRFC PUBLIC RADIO STATION
619 S COLLEGE AVE STE 4
FORT COLLINS CO 80524
INSURER B :
INSURER C :
INSURER
INSURER
INSURER
rnvFRAr:FS CFRTIFICATF NIIMRFR- 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 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.
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POUCYNUMBER
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A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE x OCCUR
General Liab
83 SBA IL0735
01/01/2017
01/01/2018
EACH OCCURRENCE
;1 , 0 0 0 , 0 0 0
DAMAGE TO RENTED PREMISES (Ea occurrence)
, 0 0, 000
x
x
MED EXP (Any one person)
a10, 000
PERSONAL & ADV INJURY
$1, 0 0 0, 0 0 0
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY � PEROQ CT ❑X LOC
OTHER:
GENERAL AGGREGATE
�; 2, 0 0 0, 0 0 0
PRODUCTS - COMP/OP AGG
: 2 , 0 0 0, 0 0 0
AIx
AUTOMOBILE LIABILITY
A
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED xNON-OWNED
AUTOS ONLY AUTOS ONLY
83 SBA IL0735
01/01/2017
01/01/2018
COMBINED SINGLE LIMIT
(Ea accident)
51 0 0 0 0 0 0
r r
BODILY INJURY (Per person)
r
BODILY INJURY (Per accident)
:;
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DE I RETENTION $
1 ND EM WYER Eh'SATu
M'U F.AQPIlJYEFS'Il,iafL1Y'F'
ANY PROPRIETOR/PARTNER/EXECUTIVEY/N
OFFICERIMEMBER EXCLUDED? 1-1
(Mandatoin NH)
If yes. describe under
DESCRIPTION OF OPERATIONS below
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE -EA EMPLOYEE
E.L.ry
,.
E.L. DISEASE -POLICY LIMIT
'
DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHIC(MORD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations
CERTIFICATE HOLDER CANCELLATION
THE CITY OF FORT COLLINS
CO LO RADO
215 N Mason St 215 N Mason St
Fort Collins, CO 80524
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
All rights resery
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD