2012-112 AMS - Clarion Associates LLC - Southern Master Plan Clarion Associates LLC

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AO�RO" CLARI -1 OP ID: PL CERTIFICATE OF LIABILITY INSURANCE DMJDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 0112 CE RTIFICATE 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 ce,tificate holder is an ADDITIONAL INSURED, the policy(les) 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 . PRODUCED PFS Insurance Group - JT 970- 635 -9400 N6NE ^CT 4848 Thompson Pkwy, Ste 200 970 -635 -9401 PNONE Johnstown, CO 80534 zt FAX John Hintzman EMAIL Arc NO ADDRESS: INSURED Clarion Ass �ciates of 621 17th St42250 Denver, CO 80293 O EMS ER B : StatQ ALItO ER c :Travelers Com D: rfuuswn uasuaity Company E:Zurich- American Ins Co 1 5 IC Ir 0 COVERAGES• INSURER F: CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAI THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHST{ NDING 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 CONDIT ONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CMS. LT LAI R TYPE OF INSU_R,NCE POLICY NUMBER GENERAL LIABILITY MM /OD fYFYY MM /DCY P LIMITS B X COMMERCIAL GENERAI LIABILITY BOP2630684 MADVINJURY CE $ E2,000,01 ,000,0 08!01111 08/01112 -PREMISES i rrenca $ 300,0 CLAIMS•MADE [] OCCUR X Contractual e person) $ 5,01 INJURY $ ;000,41 GATE S GEML AGGR EGATE LIMIT AP _LIES PER I DED I X I RETENTIONS 10000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANY PROPRIETORlPARTNFPA KECUTIVE Y J N E OFFICERrMEMBER EXCLUDED? NIA (Mandatory In NHI M yes, desuibe under DESCRIPTION OF OPERATIOI IS below D Professional Ltab. AUTOMOBILE LIABILITY C 782701390 ANY AUTO 09/15/12 X ALL OWNED BODILY INJURY (Per accident) $ PROPERTY AMAGE $ Per a dent AUTOS �ODULED 02792 X HIRED AUTOS X ICON -OWNED nUTOS EACH OCCURRENCE $ A(orPrr-ATC e UMBRELLA LIAB OCCUR B X EXCESS LIAR DED I X I RETENTIONS 10000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANY PROPRIETORlPARTNFPA KECUTIVE Y J N E OFFICERrMEMBER EXCLUDED? NIA (Mandatory In NHI M yes, desuibe under DESCRIPTION OF OPERATIOI IS below D Professional Ltab. )755 (CO) 07/27/11 48/01/12 E.L. EACH ACCIDENT $ 1 6633097 ( FL, SC,NY) 07/01/11 07101112 E.L. DISEASE - EA EMPLOYE $ 1 E.L. DISEASE - POLICY LIMIT $ 1 1 -14029 08/23111 1 08/23/12 (Prof Liab 1 DESCRIPTION OF OPERATIONS ! LO:ATIONS ! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if rnm space is requlred) insulting Services /Where required by written contract or written sgreement,certificat.e holder is included as additional insured with respect to General Liability and Auto. 30 day notice Of cancellation applies, Exception: 10 day notice for non - payment. County of Orange Financial Services 200 S. Cameron St P.O. BOX 816 I ACORD 25 (2010/05) ORANG -1 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD rnuum 15 - COMPlOP AGG $ $ 782701390 09/15%11 09/15/12 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY AMAGE $ Per a dent 02792 08/01/11 08/01/12 EACH OCCURRENCE $ A(orPrr-ATC e )755 (CO) 07/27/11 48/01/12 E.L. EACH ACCIDENT $ 1 6633097 ( FL, SC,NY) 07/01/11 07101112 E.L. DISEASE - EA EMPLOYE $ 1 E.L. DISEASE - POLICY LIMIT $ 1 1 -14029 08/23111 1 08/23/12 (Prof Liab 1 DESCRIPTION OF OPERATIONS ! LO:ATIONS ! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if rnm space is requlred) insulting Services /Where required by written contract or written sgreement,certificat.e holder is included as additional insured with respect to General Liability and Auto. 30 day notice Of cancellation applies, Exception: 10 day notice for non - payment. County of Orange Financial Services 200 S. Cameron St P.O. BOX 816 I ACORD 25 (2010/05) ORANG -1 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 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD