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HomeMy WebLinkAboutJ.D. Power - Insurance Certificate 2025 A CERTIFICATE OF LIABILITY INSURANCE DATE(MM O5/29/2025 Y) 025 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!, an ADDITIONAL INSURED,the policy(fes)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 C Aon Risk Insurance Services West, Inc. N NAME: .O San Francisco CA office (A/C.No.Ext): (866) 283-7122 FAX (800) 363-0105 y 425 Market Street X.No.), O Suite 2800 ADDRESS: p San Francisco CA 94105 USA = INSURER(S)AFFORDING COVERAGE NAIC p INSURED J.D. Power INSURER A: National Fire Ins. CO. Of Hartford 20478 3200 Park Center Drive, 13th Floor INSURERB: The Continental insurance Company 35289 costa Mesa CA 92626 USA INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570112865989 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED REVISION NAMMIED ABOVE FORTHE 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYFIF YY MM/DD/Y X LIMITS X COMMERCIAL GENERAL LIABILITY General Liability EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR y $1,000,000 PREMISES Ea occurrence MED EXP(Any one person) $10,000 PERSONAL&ADVINJURY $1,000,000 - GEN'LAGGREGATE LIMIT APPLIES PER: 00 X POLICY ❑PECT LOC GENERAL AGGREGATE $2,000,OOO U) PRODUCTS-COMP/OPAGG $2,000,000 c000 OTHER: A AUTOMOBILE LIABILITY 7039415681 05/30/2025 05/30/2026 COMBINED SINGLE LIMIT n Ea accident $1,000,000 . X Lo ANY AUTO BODILY INJURY(Per person) O OWNED SCHEDULED Z AUTOS ONLY AUTOS BODILY INJURY(Per accident) y HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Paraccident) V Comprehensive Deduct $1,000 UMBRELLALIAB OCCUR IL EACH OCCURRENCE U EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION B WORKERSCOMPENSATIONAND 70394156 5 OS 0 2025 OS 3 2026 X PER STATUTE OTH- EMPLOYERS'LIABILITY workers com -ADS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N p OFFICER/MEMBER EXCLUDED? F N/A 7039415700 05/30/2025 OS/30/2026 E.L.EACH ACCIDENT $1,000,000(Mandatory inNFq workers Comp - CA If yes,describe under p E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,0001000— DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Fort Collins, Colorado, a Municipal corporation, is officers, and employees are included as Additional insured as respects to General Liability and Auto Liability 1� CERTIFICATE HOLDER I�t a CANCELLATION y ' o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE y_- EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. g City Of Fort Collins AUTHORIZED REPRESENTATIVE c4 Attn: Purchasing Dept. PO Box 580 Fort Collins CO 80522 USA VrfA9l i��G�dJ¢c/'7sd6Gtll9sEL� e./Grit4t!•.11 /�{'�✓� 0 ACORD 25 2016/03 ©1988-2015 ACORD CORPORATION.All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000094565 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ NAMEDINSURED AGENCY Aon Risk insurance Services West, Inc. J.D. Power POLICY NUMBER See certificate Number: 570112865989 NAIC CODE CARRIER See certificate Number: 570112865989 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY LIMITS INSR ADDL SUBR POLICY NUMBER EFFECTIVE EXPIRATION LTR TYPEOFINSURANCE INSD WVD DATE DATE (MMIDD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY A 7039415681 05/30/2025 OS/30/2026 Collision $1,000 Deductible ©2008 ACORD CORPORATION.All rights reserved. ACORD 101(2008/01) The ACORD name and logo are registered marks of ACORD