HomeMy WebLinkAboutAmara Massage Therapy & Wellness - Insurance Certificate DATE
A�® CERTIFICATE OF LIABILITY INSURANCE 12/16/2024YYY)
12/16/2024
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:
PHOE IMA SELECT LLC A/CNNo,Ext): (888)661-3938 A/C,No): (877)872-7604
1705 17TH ST STE 100 E-MAIL
DENVER, CO 80202 ADDRESS: service.center@travelers.com
(888) 661-3938 INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
INSURED INSURER B:THE PHOENIX INSURANCE COMPANY
AMARA MASSAGE THERAPY &WELLNE
100 W OLIVE ST INSURER C
FORT COLLINS, CO 80524 INSURER D
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: 298999741320253 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
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
680-6K2191 16-25 02/07/2025 02/07/2026 EACH OCCURRENCE $1,000,000
A �( COMMERCIAL GENERAL LIABILITY X DAMAGE TO RENTED
CLAIMS-MADE a OCCUR PREMISES Ea occurrence $300,000
MED EXP(Any oneperson) $5,000
PERSONAL&ADV INJURY $1,000,000
GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
( POLICY PRO-
JECT LOC PRODUCTS-COMP OP AGG $2,000,000
OTHER:
IND
AUTOMOBILE LIABILITY (Ea a ciddent)SINGLE LIMIT $
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE
AGGREGATE $
DED RETENTION $
B WORKERS COMPENSATION N/A UB-6K268516-25 02/07/2025 02/07/2026 X STATUTE EERH
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT I $100,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 1 $100,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
AS RESPECTS TO GENERAL LIABILITY,CERTIFICATE HOLDER IS ADDITIONAL INSURED-
STATE OR POLITICAL SUBDIVISIONS-PERMITS RELATING PREMISES, CG 20 13,FOR:
100 W OLIVE ST,FORT COLLINS,CO 80524
CERTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS ATTN: ENGINEERING D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
281 N COLLEGE AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS.
FORT COLLINS, CO 80522
AUTHORIZED REPRESENTATIVE
1988-2015 ACORD CORPORATION. All rights reserved.
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