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Home My WebLink AboutPeople of the State of New York - Insurance Certificate�R�� CERTIFICATE OF LIABILITY INSURANC� i DATE(MM/DD/YYYV) 7!6l2024 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, LLC 30 Century Hill Drive Suite 200 Latham NY 12110 Christine M Zinoman CPCU, AIC �t�; 518-869-3535 _ Chris Zinoman a a�',Q.com_ ___ 51 INSURED People of the State of New York & the State University of NY c/o OGS BRIM Corning Tower, 32nd FI, Empire State Piz Albany NY 12242 iNsuaeRa: Ironshore Indemnitv Inc. INSURER D : F: 23647 COVERAGES CERTIFICATE NUMBER: 1058687829 REVISION NUMBER: THIS IS TO CERT�FY 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 FiESPECT 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 TVPE OF INSURANCE ADDL SUBR � POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIALGENERALLIABILITV HC7AACAXG3004 7/1/2024 7/1/2025 EACHOCCURRENCE 53,000,000 CLAIMS-MADE � OCCUR DAMAGE T RENTED PREMISES Eaoccurrence 550,000 X `PROF LIAB - OCC _____ __ ___ _ MED EXP (Any one person) 5 5,000 X 'S3M CIaiM53M A PERSONAL & ADV INJURY S 3,000,000 ; GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 � POUCY � PR� � LOC PRODUCTS - COMP/OP AGG S 3,000,000 JECT OTHER: 'PROF S 3,000,000 AUTOMOBILE LIABILITV COMBINED SINGLE LIMIT g _ _ _(Ea acCident)_ —_—___ _ . _ . ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) $ _ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE � AUTOS ONLY AUTOS ONLY Per accident — � — UMBRELLALIAB OCCUR EACHOCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED � RETENTION$ $ WORKERSCOMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y� N STATUTE ER ANYPROPRIETOR/PARTN ER/EXECUTI V E OFFICER/MEMBEREXCLUDED? � N/A E.L.EACHACCIDENT S (Mandatory in NH) E.l. DISEASE - EA EMP�OYEE S I If yes, describe under �-- , DESCRIPTION OF OPERATIONS below E.L. DISEASE - FOUCY LIMIT S- - �- -- -- i II DESCRIPTION OF OPERATIONS / IOCATI0N5/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) PROOF OF COVERAGE: SUNY Students participating in a Clinical Practice pursuant to executed Affiliation Agmt CR # 6018 Campus: SUNY Cortland; Discipline: Recreation & Leisure Studies City of Fort Col�ins, CO Adaptive Recreation Opportunities Program P.O. Box 580;215 N. Mason Street Fort Collins CO 80522 USA 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 ;%��! l� r :,_��,./ O 1988-2015 ACQRD CORPORATION. All rights reserved.