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HomeMy WebLinkAbout582379 RESEARCH INTO ACTION INC - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE 8i2oi2018) 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 terns 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 NUTMEG INS AGENCY INC/50 PLUS/PHS 250866 P: F: (888) 443-6112 PO BOX 29611 CHARLOTTE NC 28229 CONTACT NAME: (AICC,No,Ext): (ac.No)- (888) 443-6112 ADDRESS: ADDR INSURER(S) AFFORDING COVERAGE NAICM INSURERA: Sentinel Ins Co LTD INSURED RESEARCH INTO ACTION INC. PO BOX 12312 PORTLAND OR 97212 INSURER B: Multiple Companies INSURER C : INSURER D: 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. L7w ITPE OF INSURANCE ADDI SUBA POLICYNUAWER POLICYEFF POLICY1r1P LMH7S EACH OCCURRENCE $1 , Q Q 0 , 0 0 0 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $1 QQQ 000 r r X X MED EXP (Any one person) s10, QQQ A General Liab 76 SBW IR8288 09/15/2018 09/15/2019 PERSONAL & ADV INJURY $1, Q Q Q, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 0 0 0 , 000 POLICY PRO ❑X LOG PRODUCTS - COMP/OP AGG s 2 , Q 0 0 , 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1r 000, 000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 76 SBW IR8288 09/15/2018 09/15/2019 X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY s X UMBRELLA LIAB UR EACH OCCURRENCE s5,000,QQQ A EXCESSLUIB MS MADE T 76 SBW IR8288 09/15/2018 09/15/2019 AGGREGATE s5,000,000 DE X RETENTION g10 , 0 0 0 $ WORLERS COMPENSA770N ANDEMPLOYERS'LL16ILMY X PER %H- STATUTE ER E.L. EACH ACCIDENT $1 , QQQ , 000 ANY PROPRIETORtPARTNER/EXECUTIVEYIN B OFFICERIMEMBER EXCLUDED? (Mandatory inNN) ❑ NIA 76 WBG ZR5904 09/2;/2017 09/23/2018 E.L. DISEASE -EA EMPLOYEE Ii, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE -POLICY LIMIT $1 , 0 0 0, 0 0 0 DESCRIPTION OF OPERATIONS /LOCATIONS/VEHKWMRD 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 City of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Department PO BOX 580 AUTHORIZED REPRESENTATIVE C�4Z�i rzG> FORT COLLINS, CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD