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HomeMy WebLinkAbout462114 ROCKY MOUNTAIN MEDIA CORP - INSURANCE CERTIFICATEACOCERTIFICATE OF LIABILITY INSURANCE DATE //2018 ) 08/03/03R" 018 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 endorsement(s). PRODUCER CONTACT Karen George, CISR NAME: Flood and Peterson PHONE (970) 356-0123 FAX (970) 330-1867 A/C No, Ext : (AtC. No PO Box 578 E-MAIL KGeorge@floodpeterson.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Greeley CO 80632 INSURER A: Massachusetts Bay Insurance Company 22306 INSURED INSURER B : Plnnacol Assurance 41190 Rocky Mountain Student Media Corporation INSURER C : 1101 Centre Ave Mall, Room 118 INSURER D : INSURER E : Fort Collins CO 80523 INSURER F : COVERAGES CERTIFICATE NUMBER: CL188324678 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYVV POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 15�DAMAGE CLAIMS -MACE OCCUR PREMISES (Ea occurrence 1,000.000 S MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ EXCLUDED A OD4-A997251-02 07/28/2018 07/28/2019 GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 2,000,000 ❑PRO JECT LOC PRODUCTS-COMP/OPAGG sPOLICY 2,000,000 S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS OD4-A997251-02 07/28/2018 07/28/2019 BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident) $AUTOS HIRED H NON -OWNED ONLY AUTOS ONLY $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE OD4-A997251-02 07/28/2018 07/28/2019 DIED RETENTION S 0 S B WORKERS COMPENSATION Y / N AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ElN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) / A 4125313 07/01/2018 07l01/2019 PER E STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE S 500,000 If ves, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. GtK I It•IGAI t MULUtK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 X� ,(J[ F.,J_.C_ @ 1988-2015 ACORD CORPORATION- All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD