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DocuSign Envelope ID:8EO53641-901 B 43AE.A5A8-E170697F7DCA RICHHOS <br /> DATE(MM/DD/YYYY) <br /> ACORDTM CERTIFICATE OF LIABILITY INSURANCE 4/30/2015 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> IMA, Inc. -Colorado Division PHONE 303-534-4567 FAX 303-534-0600 <br /> 1705 17th Street,Suite 100 MA Lo,Ext: (vc,No): <br /> ADDRESS: denpam @imacorp.com <br /> Denver, CO 80202 INSURER(S)AFFORDING COVERAGE NAIC# <br /> 303-534-4567 INSURERA: Liberty Mutual Fire Ins. Co. 23035 <br /> INSURED INSURER B: Navigators Insurance Company 42307 <br /> Richfield Hospitality, Inc. NSURERC: Praetorian Insurance Company(*) 37257 <br /> 7600 E. Orchard Road,Suite 230 South <br /> INSURER D <br /> Englewood, CO 80111 <br /> INSURER E <br /> INSURER F: *QBE the Americas <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.ADDLSUBR <br /> LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> (MM/DD/YYYY) (MM/DD/YYYY) <br /> A GENERAL LIABILITY TB2691457665034 10/01/2014 10/011/20115 EACHOCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISESOEa occur'.'c.) $500,000 <br /> CLAIMS-MADE Fx_]OCCUR MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY M PRO X LOC $ <br /> JECT <br /> A AUTOMOBILE LIABILITY AS2691457665024 10/01/2014 10/01/201 EeaccidenSINGLELIMIT $1,000,000 <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS X AUTOS <br /> X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS Per accident <br /> $ <br /> B X UMBRELLA LIAB X OCCUR CH14UMR7150011V 10/01/2014 10/01/2015 EACH OCCURRENCE s25,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE s25,000,000 <br /> DED X RETENTION$O $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> C CWC3975002 10/01/2014 10/01/201 X TORYLIMITS ER <br /> AND EMPLOYERS'LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE�Y/N E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? IN l NIA <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> For Information Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ©1988-2010 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br /> #S 1132490/M 1072467 S MS 1 <br />