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Insurance Certificates 2021/22 InterWest Consulting GroupCERTIFICATE OF LIA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITL REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. •.... • .oa 4LW Iwlutlr Ib an AUUl l IUNAL IN7UKklU, the If SUBROGATION IS WAIVED, subject to the terms and conditions of t this certificate does not confer rights to the certificate holder in IieII of PRODUCER RBN Insurance Services 303 E Wacker Dr Ste 650 Chicago IL 60601 INSURED Interwest Consulting Group P.O. Box 18330 Boulder CO 80308 SAFELLC-0' INSURANCE DATE(MM/DDNYYY) ,BILITY 9/28/2021 Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. ie policy, certain policies may require an endorsement. A statement on Lich endorsement(s). CONTACT NAME: Smone White PIA1C Nk - 312$56-9400 A!G No 312-856-9425 E-MAIL ADDRESS; swhitB rbnlnsurance.com INSURERS AFFORDING COVERAGE NA{C # INSURER A: Hartford Fire Insurance Co. 19682 INSURER B : Hartford Casualt Insurance Co 29424 iNSURERC: Great American EE,S Ins. Co. 37532 INsuRER D: Twin Cit Fire Insurance Co. 29459 INSURER E ; B ridgeway Insurance Company 12489 _ INSURER F ; Navi ators S ecialt Ins- Co. 36056 COVERAGES CERTIFICATE NUMBER: 1355939242 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. NSR AODL su R _ TYPE OF INSURANCE POLICY NUMBER MMIDDIYPOLICYEFY PMIDD IXP LIMITS A X i MERCIALCENERALLIABILITY 83UENZV3951 10/1/2021 10/3/2022 EACHOCCURRENCE $1,E00,000 CLAIMS -MADE OCCUR DAMA ^^❑ ENTE ^— MED EXP (Any oneperson) 510,000 PERSONAL & ADV INJURY $ 1.000,ODD GEN'LAGGREGATE LIMIT APPLIES PER: POLICY n PRO - LOC GENERALAGGREGATE $2,000.000 PRODUCTS -COMP/OP AGG 52,0O0,0EE JECT L u J OTHER I $ B AUTOMOBILE LIABILITY 83UENPY9100 10/3/2021 10/3/2022 C . M11INED SINGLE LIMIT Ea stdJ ent $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED X 1 X AUTOS ONLY AUTOS ONLY PROPERTY D MAGE $ Per accident $ F UMBRELLA LIAB X OCCUR CH21EXC8856001C 10/3/2021 1E/3/2022 EACH OCCURRENCE $5,OE0,0OO X EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DED X X I PER Eli $ p RETENTION 5 n WORAND MRS COMPENSATION AND EMPLOYERS' LIABILITY 83WECE0623 5/12/2021 5/12/2022 Y / N ANYPROPRIETOR+PARTNERIEXECUTIVE OFFIGEfVMEMSEREXCLUDED? � N/A E.L. EACH ACCIDENT 1,D00,000 in NH) If If yea, describe under E.L. DISEASE - EA EMPLOYE1,WO0 000 r DESCRIPTION OF OPERATIONS below C Pro[essianal Liability E.L. DISEASE -POLICY LIMIT 1,000,00E E Excess Uab (2nd) Layer TER 2861558 8E-A7-XL-0002079-00 10/3/2021 10/3/2022 Each ClaimlAggregale 10,000,000 10/3/2021 10/3/2022 Each OCCIAggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico La Quinta CA 92253 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD