HomeMy WebLinkAboutHR Solutions & Services LLC - Insurance Certificate 2025 ,4co' ,r CERTIFICATE OF LIABILITY INSURANCE DATSA E(MMIDD-1
25
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HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2HOLD0ER
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 be endorsed. If SUBROGATIONIS WAIVED,
Subject to the terms and conditions of the policy,certain POIIC18S may require an endorsement.A statement on this certificate does not
confer rights to the certificate holder in Ileu of such endorsement(s).
PRODUCER
NORTHEAST AGENCIES INC/PHS CONTACT N
a
01210500 PHONE (866)467-8730 FAX
The Hartford Business Service Center (A/C,No,Ext): (A/C,N.Y.
3600 Wiseman Blvd E-MAIL
San Antonio,TX 78251 ADDRESS:
INSURER(S)AFFORDING COVERAGE NAICt1 FSOLUTIONS
INSURER A: Hartford Caoualty Insurance 0 ripany 29424
&SERVICES, LLC
106 INSURER 8:
SPRINGS CO 80962-4106 INSURERC:
INSURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB Y PERIOD
ABOVE FOR THE POLIC
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.
INS TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
POLICY NUMBER LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $1,000,000
CLAIMS-MADEFX]OCCUR DAMAGE TO RENTED
X General Liability $300,000
MED EXP(Any one person) $10,000
A X 01 SBA RE4382 03/19/2025 03/19/2026 PERSONAL&ADV INJURY
$1,000,000
OEN'L AGGREGATE LIMIT APPLIES PER:
PRO- GENERAL AGGREGATE $2.000.000
POLICY 7 LOC PRODUCTS-COMP/OPAGG $2,000,000
JECT
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO $1,000,000
ALL OWNED SCHEDULED BODILY INJURY(Per person)
A AUTOS AUTOS 01 SBA RE4382 03/19/2025 03/19/2026 BODILY INJURY(Per accident)
HIRED NON-OWNED
X AUTOS X AUTOS JPROPERTY DAMAGE
(Per accident)
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-
MADE AGGREGATE
ED RETENTION$
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY PER OTH-
ANY YIN TS
PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? N/A _
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE
If yes,describe under
7DESCRIPTioN
p T E.L.DISEASE-POLICY LIMIT
REACH-DEFENSE& 01 SBA RE4382 03/19/2025 03/19/2026 Limit
VG $500,000
OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
the Insured's Operations,Certificate holder is an additional insured per the Business Liability Coverage Form SS0008,attached to this
of Cancellation will be provided In accordance with Form SS1223,attached to this policy.
CERTIFICATE HOLDER CANCELLATION
City Of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
215 N MASON ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
FORT COLLINS CO 80524-4402 IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of CaaZ�u. >
01988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD