HomeMy WebLinkAboutVIQ Solutions, Inc. - Insurance Certificate ACC) 12/16/2024 Y) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ 024 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 endomement(s). NTA T Julie Harmsen PRODUCER NAME: Capital West PHOA/CNNo Ext; (480)838-8000 A/C No 8501 N Scottsdale Rd,Ste 200 E-MAIL julie@capitalwestins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Scottsdale AZ 65253 INSURER A: Sentinel Insurance Company,Ltd 11000 INSURED INSURER B; Beazley Insurance Company,Inc. 37540 VIQ Solutions,Inc.(See overflow page for full entity info) INSURER C: Federal Insurance Company 20281 20 E Thomas Rd,Suite 2200 INSURER D: INSURER E: Phoenix AZ 85012 INSURER F: COVERAGES CERTIFICATE NUMBER: CL24121693779 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. I�TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMI DYIYYYY EFF MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TURERTEU­ CLAIMS-MADE F OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 A Y 59SBABG4232 02/06/2024 02/06/2025 PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY PRO ❑LOC PRODUCTS-COMP/OP AGG $ 4,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 ANY AUTO BODILY INJURY(Per person) S A OWNED SCHEDULED Y 59SBABG4232 02/06/2024 02/06/2025 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY H AUTOS ONLY Per accident X UMBRELLA LIAB X1 OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS LIAB CLAIMS-MADE 5672-05-98 02/25/2024 02/25/2025 AGGREGATE $ 5,000,000 DIED I I RETENTION$ $ WORKERS COMPENSATION _ PER OTH- AND EMPLOYERS'LIABILITY y I N - - -STATUTE _ER. ANY PROPRIETOR/PARTNERIEXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S Each Claim/Aggregate 2M/5M Professional,Cyber&Tech Liability B Crime(Eff 2/6/24-2/6/25) V16E64241101/ 652195831 12/15/2024 12/15/2025 Employee Theft&Client 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) City of Fort Collins is listed as additional insured with respects to general liability and auto liability per written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City Of Fort Collins ATTN:Purchasing Dept. ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD