Loading...
HomeMy WebLinkAboutAPS HEALTHCARE - INSURANCE CERTIFICATEADcuce ACORD,a CERTIFICATE OF LIABILITY INSURANCE 0ai M °°� "' PRODUCER Wachovia Insurance Services, Inc. 1401 H Street, NW 7th Floor Washington, DC 20005 202 783-5810 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED APS Healthcare, Inc. 8403 Colesville Road, Suite 1600 Silver Spring, MD 20910 INSURER A: Hartford Casualty Insurance Company 29424 INSURER B: Hartford Fire Insurance Company 19682 INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE OF INSURANCE POLICY NUMBER p TEY EFFDEOCTNE IYYI POLICY EXPI DATE p TION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR 42UENAC1551 04/15/07 04/15/08 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED $•30D OOO MED ECP (Any one person) $1 D 000 PERSONAL $ ADV INJURY $1 000 000 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PR JECT LOC PRODUCTS - COMP/OP AUG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 42UENACIS51 04/15/07 - 04/15/08 COMBINED SINGLE LIMIT (Ea accident) $100D000 r r BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSAIMBRELLA LIABILITY X OCCUR ]CLAIMS MADE DEDUCTIBLE RETENTION $ 42HHUUG5563 04/15107 04/15108 EACH OCCURRENCE $5 000 000 AGGREGATE $5 000 000 S $ $ B WORKERS COMPENSATION AND EMPLOYERS' LU181LITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERMIEMBER EXCLUDED? Medescribe under dIA PROVISIONSbelow 42WBPB7626 04/15/07 04/15/08 X WCSuTAT11 OTH- E.L. EACH ACCIDENT $50D 000 E.L. DISEASE -EA EMPLOYEEJ $500000 E.L. DISEASE -POLICY LIMIT 1000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Evidence of Insurance. City of Fort Collins Purchasing Division P.O. Box 580 Fort Collins, CO 80522 ) ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR I,CORD 25 (2001108) 1 of 2 #M'1185580 TMA06 © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. CORD 25S (2001/08) 2 of 2 #M1185580