HomeMy WebLinkAboutCenter for Public Safety Excellence - Insurance Certificate�' l � DATE (MM/�D/YYYY)
A�Ro CERTIFICATE OF LIABILITY INSURANCE
1 /4/2024
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: If 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: ----------------
Arthur J. Gallagher Risk Management Services, LLC PHONE Fax
8251 Greensboro Drive, Suite 330 (Arc�No,��e�;_703-790-5770______ ___�Sruc No1703-433-1959___ __
E-MAIL
Mc Lean VA 22102 ADDRES$.
- - -- - _ . _. _- - _ __ __
INSURED
Center for Public Safety Excellence Inc
1900 Reston Metro Plaza
Suite 600
Reston VA 20190
INSURER D :
INSURER E :
NAIC_N
20338
32727
COVERAGES CERTIFICATE NUMBER:228577882 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 AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXC�USIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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_- -- - _------ -_ ---_____.__ _
INSR � � TVPE OF INSURANCE �� � � ADDL $UBFi � pOLICY NUMBER MM/DD/YYYY I MM DDlYYYV LIMITS
LTR
A X COMMERCIALGENERALUABIUTY CLUVAD521824633N 1/1/2024 j 1/1/2025 EACHOCCURRENCE $1,000,000
-" - DAMA�E Tb RENTED �
Ih __I CLAIMS•MADE �_J OCCUR PREMISESSEaoccurrence 51,000,000 __ _
I MED EXP (Any one person) 510,000
�— ------------------
�� _ _ _ _ PERSONAL & ADV INJURY S 1,000,000
� - ------- ------- --- � ---- -------
'i GEN'L AGGREGATE LIMIT APPLIES PER: ' GENERAL AGGREGATE $ 2,OOQ000
' X POLICY [_ _] jECT L—� LOC PRODUCTS_ COMPlOPAGG 32,000,000 __ _
-- OTHEF: -- ------ - - �- -- --
B � AUTOMOBILE LIABILITY 99488243 1/1/2024 1/1I2025 COMBINED SINGLE LIMIT $ �,000,000
r __ SEa accident ___ ___ _
I` ANY AUTO BODILY INJURY (Per person) $
— OWNED ___ SCHEDUlEO ------------- _ ____ _--- --- —
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ _
X HIRED X NON-OWNED FROPERTYDAMAGE -�
____ AUTOS ONLY ___ AUTOS ONLY _lPer accidentL____ __ ,_ ______ ______ _
S
A X UMBRELLA LIAB X OCCUR UMBVAD521825053N 1I112024 1l1/2025 EACH OCCURRENCE �,1,000,000
--- i -------------- ---------�---------
I EXCESS LIAB CLAIMS-MADE j AGGREGATE $ 1,000,000
:._..._ .__ . ..___�__.-.-__------__---- � �------ ----.__._____------_._--
DED i RETENTIONS � S
g'�WORKERSCOMPENSATION 99488243 1/1/2024 1/1/2025 X
i AND EMPLOYERS' LIABILITY ! _ STATU7E �RH_ __.__ ______
�' ANYPROPHIETOR/PARTNEA/EXECUTIVE Y� � E.L EACH ACCIDENT $ 1,000,000
�OFFICER/MEMBEREXCLUDED? N�A -------�---�----- -�- -��-�--��� -�--��-�-��- -�
I(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 ___ ___
� If yes, describe under
DESCRIPTION OF OPERATIONS be�Ow - E.L. DISEASE - POLICY IIMIT 5 1,000,000
C Professional Liability MPL435507424 1/1/2024 1/1/2025 limit $1,000,000
� Ertors 8 Omissions
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be atlached if more space is required)
City of Fort Collins is included as additional insured with respect to the General Liability and Auto Policy as required by written contract.
CANCELLATION
City of Fort Collins, Purchasing Division
PO Box 580
Fort Collins CO 80522
USA
. ._ . . - � -- -.__._. , . . ._..__
iNsuaea A: Northwestern Pacific Inden
__ _ _ - -- - - - --___ _ --- ------ -
PUBSAFE-Ot iNsuaea e: Great Northem Insurance (
iNsuaea c: Underwriters at Llovd's, Loi
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
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O 1988-2015 ACORD CORPORATION. All rights reserved.
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