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HomeMy WebLinkAbout193498 E-CUBE INC - INSURANCE CERTIFICATE (5)Client#: 98325 NEDEREF ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 9/01/2017 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 CBIZ Insurance Services, Inc. 700 West 47th Street, Suite 1100 Kansas City, MO 64112 816 945-5500 CONTACT Laura Weeks NAME: Al N ; Ext : 816-945-5589 FAX No): E-MAIL lweeks@cbiz.com ADDRESS: INSURER(S) AFFORDING COVERAGE I NAIC # INSURER A: Hartford Casualty Insurance Co '129424 INSURED INSURER B : Hartford Insurance Co. of the M 37478 Nederland Refrigeration, Air Conditioni Travelers Casual & Sure Co. INSURER C : Casualty Surety 31194 ng & Heating Corp., dba E-Cube Inc. INSURER DHartford Underwriters 30104 1900 Folsom #109 Boulder, CO 80302 INSURER E INSURER F : 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. LT_R TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER_ _ _ _ 37SBAPK5611 POLICY EFF POLICY EXP (MM/DD/YYY_Y)_(MM/D_DN)T LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE L, OCCUR 09/09/2017 09/09/2018 EACH OCCURRENCE $2 OOO OOO PREMISES ERENTED unte s50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECOT LOC OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OP AGG $4,000,000 $ D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS 37UECKD3233 9/09/2017 09/09/201 (CEOac.d.DtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 37SBAPK5611 9/09/2017 0910912018 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000,000 DED X RETENTION $1 O 000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 37WBCBZ3056 09/09/2017 09/09/2018 X PTR OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1 ,000,000 C Errors & Omission 105493136 0910912017 09/09/201 $2,000,000 Each Claim/ $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 598's City of Fort Collins. City of Fort Collins is an additional insured with regard to General Liability and Automobile liability, if required by written agreement, per forms SS000080405 and HA99160312. City of Fort Collins 215 N Mason Street, 2nd Floor Ft. Collins, CO 80522 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 CBIZ Insurance Sera-i.ces, Inc. ACORD 25 (2014/01) 1 of 1 #S1647816/M1647209 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OPTK