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Home My WebLink AboutPONDER COMPANY INC - INSURANCE CERTIFICATE 2023-2024� � DATE (MM/DD/YVYV) A�?� CERTIFICATE OF LIABILITY INSURANCE 8/24/2023 THIS CERTIFICATE IS 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: It 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 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). PRODUCER CONTACT NAME___ Debbie Aranda Arthur J. Gallagher Risk Management Services, LLC aHOHe -- --- - _�Fnx Six Desta Drive ac_,yo ezt): $06-748-2015 ___ ___ (NC NoZ866-446-7371 _ E-MAIL Suite 5900 ADDRESS: debbl@ aranda�a��com_ __ Midland TX 79705 INSURER�SjAFFORDINGCOVERAGE NAICk INSURED Ponder Company, Inc. 1545 W. Tufts Ave. Suite B Englewood CO 80110 iNsuaea a: Texas Mutual Insurance Comp; PONDCOM-01 iNsuaEa s: Argonaut Insurance Compa� INSURER C:_ACU�, A mutual Insurance Cor iNsuaea o: Ironshore S�ecial� Insurance ( iNsuaea e_:_Champlain S�ecialtY Insurance 1_9801__ 14184__ 25445 �sa3a COVERAGES CERTIFICATE NUMBER: 1582202592 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. - -- -- ----- — INSR � ADDL SUBR POLICY EFF � POLICY EXP LIMITS LTR ! TVPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY E i X COMMERCIALGENERALLIABILITY Y Y CSARCGL000109102 8(31(2023 8/31/2024 EACHOCCURRENCE S1,000,000 � DAMA E TO RENTED �'�r , CLAIMS-MADE � OCCUR PREMISES {Ea occurrence 8'I00,000 X $5,000 Ded PerOc MED EXP (Any one persan)_ $ 5,000 F— — ---- - — - - — �'� PERSONAL & ADV INJURY S 1,000,000 �I�GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POUCY n jE � � LOC PRODUCTS - COMP/OP AGCa $ 2,000,000 __ OTHER: � COMBINED SINGLE LIMIT C AUTOMOBILE LIABIUTY Y Y ZG5962 8/31/2023 8/31/2024 Ea a_�____ `� ��000,000 _ _� _ ccident � X ANY AUTO '� BODILY INJURY (Per person) 5 ��, -� OWNED SCHEDULED +� ' BODILY INJURY (Per accident) $ �___ AUTOS ONLY AUTOS , X HIRED X NON-OWNED PROPEFTYDAMAGE 5 AUTOS ONLY AU70S ONLY Per accident ___ __ i�-- � E X UMBRELLA LIAB X OCCUR Y Y CSARCEL000109202 8/31/2023 I 8/31/2024 EACH OCCURRENCE S 5,000,000 EXCESS LIAB CLAIMS-MADE � AGGREGATE $ 5,000,000 — — ---_._- --�----- ----- ----------- DED ! X RETENTION $ S q WORKERSCOMPENSATION Y 0002002365 8/31/2023 8/31I2024 X STATUTE �RH B ANDEMPLOYERS'LIABIUTY y�N WC929018620214 8/31/2023 8/31/2024 �--� — — ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? � N�A -----�----" --- — ----�-- (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under ' DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C'i Rented/Leased Equip 2G5962 8/31/2023 8/31/2024 Any One Item-570,000 Deductible-$500 D: Pollution Liabiliry ICELLUW00147172 4/28/2023 4/28I2024 Each Pollulion $1,000,000 I DESCFIPTION OF OPERATIONS! LOCATIONS / VEH�CLES (ACORD 101, Additional Remarks Scheduie, may be ettached if more space is required) Certificate Holder is an Additional Insured as respects to the General Liability & Automobile policy, pursuant to the policy's terms, definitions, conditions and exclusions. Certificate Holder is included as Additional Insured on the General Liability & Automobile policy, as per endorsement CG2010 and CG2037 (04-13), CA7214 (10-98) Waiver of Subrogation applies to certificate holder, as respects to the General Liability & Automobile policy, pursuant to the policy's terms, definitions, conditions and exclusions. Waiver of Subrogation applies to certificate holder, as respects to the General Liability & Automobile policy, as per endorsement #CG2404(05-09), CA7247 (10-16) and Workers' Compensation policy, as per endorsement #WC4203046, edition (08-23). See Attached... CERTIFICATE HOLDER City of Fort Collins PO Box 580 Fort Collins, CO CO 80522 USA ACORD 25 (2016l03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TIVE O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: PONDCOM-01 LOC #: ACOR�� ADDITIONAL REMARKS SCHEDULE AGENCY NAMEDINSURED Arthur J. Gallagher Risk Management Services, LLC Ponder Company, Inc. 1545 W. Tufts Ave. Suite B POLICY NUMBER Englewood CO 80110 Page � of � ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE The insurance provided in the General Liability & Auto policy is primary and any other insurance shall be excess only, and not contributing. The Workers' Compensation, General Liability and Business Automobile policies include an endorsement providing that 30 days notice of cancellation or coverage change will be furnished to the certificate holder. Umbrella is Follow Form General Liability, Auto Liability, Employers Liability coverages noted above. Umbrella is Follow Form General Liability, Auto Liability, Employers Liability coverages noted above. Pollution Liability has $25,000 Deductible Excluded o�cer David Ponder President Re: Northside Aztlan Community Center - Rabbit Room Aerobics Floor The general liability and auto policies include blanket additional insured endorsements (attached) that provide additional insured status to the certificate holder only when there is a written contract between the Named Insured and the certificate holder that requires such status. CARRIER NAIC CODE EFFECTIVE DATE: �� IS'14 ACORD 101 (2008/01) OO 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD