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HomeMy WebLinkAbout319162 KRFC PUBLIC RADIO STATION - INSURANCE CERTIFICATE (12)CERTIFICATE OF LIABILITY INSURANCE 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: PHONE N. (AC No) (888) 443-6112 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICd INSURERA: Hartford Casualty Ins CO INSURED KRFC PUBLIC RADIO STATION 619 S COLLEGE AVE STE 4 FORT COLLINS CO 80524 INSURER B : INSURER C : INSURER INSURERE: INSURER COVERAGES 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 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. LV,Sk TYPE OFINSUR.9NCE ADDL SUM? POLIC7NUMBER POLICYEFF /DD/YPYY) POLICTEXT LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE l, 000, 000 CLAIMS -MADE a OCCUR DAMAGE TO PREMISESS ( (Ea occurrence) -, 3 0 0� 000 X X MED EXP (Any one person) 1o, 000 A General Liab 83 SBA IL0735 01/01/2017 01/01/2019 PERSONAL & ADV INJURY l, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE <2 , 000, 000 PRODUCTS - COMP/OP AGG ; 2 , o O O , O O 0 POLICY � PRO- � LOC JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ,.l 000, 000 BODILY INJURY (Per person) ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 63 SBA IL0735 01/01/2017 �)1/01/2018 BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE d AGGREGATE EXCESS LIAB CLAIMS -MADE DE RETENTION S .WORAF.W COMPENSATION ANDFa'dPUJFFF3'LLiBILrry PER OTH- STATUTE I ER E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ NIA E.L. DISEASE- EA EMPLOYEE ' E.L. DISEASE -POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS / VEH/C(BSORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations Certificate Holder is an Additional Insured per the Business Liability Coverage Form SS0008 attached to this policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED THE CITY OF FORT COLLINS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CO LO RADO AUTHORIZED REPRESENTA77VE - 215 N MASON ST 215 N MASON ST D �� (j�.,l, FORT COLLINS, CO 80524 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD