HomeMy WebLinkAboutCollaborative Consulting Certificate of Liability Ins. CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS Date:November 6,2012
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(ios)must be endorsed.If SUBROGATION IS WAIVED,subject fa the terms and conditions of the
policy,certain policies may require an endorsement.A statement on this certificate does not confer righfs to the certifcate balder in lieu of such endnrsemant(s}.
PRODUCER CONTACT NAPAE: t�ZEM[
Bozeman Independent Agency,Inc PHONE ENT
2304 W.Main Street,Suite 1 (A►C,No.EXt
E-fdAIL MX A
ADDRESS: M 571 -586-3000
Bozeman.MT 59718 INSURER(S)AFFORDING COVERA i t I-,, NAIL#
INSURER A.CAPITOL SPECIALTY INSURANCE CORPORATION
INSURED INSURER B:
Collaborative Consulting INSURER C:
PO Box 5193 INSURER D:
Bozeman,NIT 59717 INSURER E:
INSURER F.
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
V HAVE KEN ISSUED TO"FHE INSLIRFE1 NAMED ABOVE FOR THE PCILICY PER OD INDICATED F,fO i TH5 C"+NB 1G Fd.IY RFf J EP.v PIT
TlilSi'�TC�ERTrVTHrTThit POLICIES OF fV�URANCE LISTELitTEI.OJ �
TFFIlki np(r) IGITICIN E1F L+I!}CONTR.,v r O.R R Il ILP DG(,LtJ'EPBT"PJ Tbi F ESPECT rC t°�I'iC;-I TI! ;EPT;F�STE iro4s°tii"E- ^5�:8'=D(Jr vir C{TT"ui'�,T'r-tE YiVSIJR�V,ICE trrFJrcv1ED F�` EHF PCL CiI uLT�.n�bED
HFRE'Irf IS 1A IBJE(T 70 ALL THE rEFNr Ev(t USMI;AJVD CONDITIONS OF SUCH POLICES L!MRS SHOWN MAY IJAVE DEEN REOLEFD BY PAID CLAIP��S
INSR TYPE OF INSURANCE ADDL SUER. POLICYNUMOIER-7 POLICY CFF POLICY EXP I LIMITS
LTR WVD
NSD '... '. MMtDOTYYYY MMIDDh`Y'YY
GENERAL LIABILITY EACI I OCCURRENCE
COMMERCIAL.GENERAL LIABILITY 7—V07E To RENITECI
HEMISLS En
CLAIMS MADE ,...._ OCCURRENCE PMILD EXP(",- one p rsnnl
—..— PER'ONtl&ADV IN.IUFY
GEN AGG LIMIT APPLIES PER: GFNERtl AGGRFGATE
---POLICY PROJECT _LOG
FROD1,1Cr5-CarnRaoP AGG
AUTOMOBILE LIABILITY COMBINED SINGLE LlrAT'
..........
ANY AUTO (Each rca daral)
ALL OWNED AUTOS BOULY INvJURY
SCHEDULED AUTOS p%ptrsrirll
_._HIRED AUTOS
NON-OWNED AUTOS BODIL`r Pd( n1)
(Per a,-,,'.id-n1)
--- PROPERTY DIV`JfAGE
(Per�,;r:r..rdenll
UMBRELLA LIAR —OCCUR EACII OCCURRFNCE
EXCESS LIAB _ CLAIMS-MADE AGGREGATE
DED _RETENTION
WORKER'S COMPENSATION arrd�,7ATHTORY tlr,11TS
AND EMPLOYERS LIABILITY OTHER
,14Vy PRCMIFIORLPA'MEP E>EGIJTIVE N/A E L EACH ACQDENT
Vi FICERAiENIDFRE?CiLUDEU7_YIN
DISE E L+4 EdAFLOYEE
(Mandatary in FIH) L
I ye s dt?,.rlhe under F L FMEASE-POL0(LIP,"JT
DF r RIP70P,I OF OPERATIONS h l,)w
EACHERRCtNE4US 1,t]IJO,UIUQ
ERRONEOUS ACTS SGC03304-01 10126I2D1'2 10126/2013 AcT
AGGREGATE 11'000000
DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES(AttaehAOORD 101,Addtienal Remarks Schedule,if more space Is required)
MANAGEMENT,OPERATIONAL,STRATEGIC OR LONG RANGE PLAWNG AND GRANT OR FUNDING PROPOSAL WRITING CONSULTING
SERVICES.
CERTIFICATE HOLDER CANCELLATION
City of Bozeman SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 1230 A 7HORIZED REPRESENTATrVE COCHR'ANE d COMPANY.A L13VGON OF CCC,HRANE AGENCY
121 N.Reuse Street
Bozeman,MT 59771
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