HomeMy WebLinkAbout319162 KRFC PUBLIC RADIO STATION - INSURANCE CERTIFICATE (13)A`---- J CERTIFICATE OF LIABILITY INSURANCE
DATE (W"DIYYYY)
112/5/2016_
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 endorsement(s)-
PRODUCER
INSURANCE NOODLE LLC/PHS
554080 P: F: (888) 443-6112
PO BOX 29611
CHARLOTTE NC 28229
CONTACT
NAME:
(A/CN,Exq:
FAX
c.No): (888) 443-6112
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAICN
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 D:
INSURER E:
INSURER F:
f`AVCMAGCC CFRTIFICATF NIIMItFR• KEVINIUN NUMfStKC
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.
lN,W
TYPEOFLVSURANCE
`DD
SUBR
POLICTNUMBER
POLICYEFF
D/YYPY
POl1CYEXP
LLWIS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$1, 0 0 0, 0 0 0
CLAIMS -MADE nOCCUR
DAMAGE TO
PREMISESS((Ea occurrence)
$30O OOO
r
A
General Liab
83 SBA IL0735
01/01/2017
01/01/2018
X
X
MEDEXP(Any onePerson)
s 0r000
PERSONAL & ADV INJURY
g 1 r 0 0 0 r 0 0 0
GEN'L AGGREGATE LIMIT APPLIES PER
POLICY ] PRO- ❑X LOC
JECT
GENERAL AGGREGATE
s2,0001000
PRODUCTS - COMPIOP AGG
s 2, 0 0 0 r 0 0 0
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT (Ea accident)
$1 , 0 0 0 , 0 0 0
BODILY INJURY (Per person)
g
ANY AUTO
A
OWNED SCHEDULED AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
83 SBA IL0735
01/01/2017
01/01/2018
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$
DE I RETENTION E
WOt?Ae'RS'COMPEt\S HON
.iND F.dJPLOYERS'L 4BLfJ"
ANY PROPRIETORIPARTNERIEXECUTIVEYIN
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$
OFFICERIMEMBER EXCLUDED? ❑
(Mandatory in NH)
NIA
E.L. DISEASE- EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHIC(.®ORD 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
CFRTIFlrATF HC)I nFR GANGtLLA I IUN
THE CITY OF FORT COLLINS, COLORADO
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.
5 ACORD CORPORATION. All rights resery
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD