HomeMy WebLinkAboutSHARON CHAPIN GREY CASTLE ASSOCIATES - INSURANCE CERTIFICATEPOLICYHOLDER (NOTICE -
EMPLOYMENT PRACTICES LIABILITY INSURANCE
m
o pear Policyholder
We are pleased to enclose your new Spectrum business insurance policy
0
In an effort to continually improve and enhance the Spectrum business insurance policy, The Hartford now provides
comprehensive, state of the art coverage for Employment Practices Liability Your Spectrum policy automatically includes
$5,000 of Employment Practices Liability Insurance (EPLI) coverage - at no additional cost.
The Hartford's EPLI coverage includes a broad definition of "Wrongful ,Acts", which in addition to wrongful refusal to employ,
o wrongful promotion, evaluation, discipline or termination, now includes coverage for violations of sexual harassment or
other workplace harassment laws; unlawful retaliation against a past, present or future employee, and violations of the
Family Medical Leave Act
Your policy includes coverage of $5,000 on a claims -made basis and provides legal defense within those limits. This is
limited coverage, designed to provide protection against very small claims We advise that you consider the total potential
exposure to your company from these kinds of lawsuits and work with your agent to secure higher limits, if needed, for your
business
The Hartford continues to improve and enhance the Spectrum business insurance policy, providing comprehensive
coverages .and competitive pricing Together, EPLI and other product features make Spectrum the insurance coverage for
owners of small businesses
If you have any questions about your Spectrum business insurance coverages or would like more information about the
new EPLI protection, please contact your agent or broker directly Thank you for choosing The Hartford for your business
insurance needs.
Sincerely,
Richard J Law, Senior Vice President
Select Customer
Small Commercial Market
Form SS 83 39 07 99 Printed in U S A (NS)
0 1999, The Hartford
Thf Spectrum Policy co is of the Declarations, Coverage Forms, C on Policy Conditions and any
other Forms and Endorse is issued to be a part of the Policy This in
ante is provided by the insurance
�? company of The Hartford Insurance Group shown below
INSURER: HARTFORD CASUALTY INSURANCE COMPANY
HARTFORD PLAZA, HARTFORD, CT 06115
COMPANY CODE 3
Policy Number: 34 SBA KN0733 DX
SPECTRUM POLICY DECLARATIONS ORIGINAL
Named Insured and Mailing Address: GRAYCASTLE ASSOCIATES
(No , Street, Town, State, Zip Code)
PO BOX 4059
EVERGREEN CO 80437
Policy Period: From 07/01/00 To 07/01/01 1 YEAR
12 01 a m , Standard time at your mailing address shown above Exception: 12 noon in Maine, Michigan, New Hampshire,
North Carolina
Name of Agent/Broker: GKS INS AGCY/SCIC
Code: 340820
Previous Policy Number: NEW
Named Insured is: CORPORATION
Audit Period: NON-AUDITABLE
Type of Property Coverage: SPECIAL
Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree
with you to provide insurance as stated in this policy
TOTAL ANNUAL PREMIUM IS:
$850 MP
Countersigned by
Date
Form SS 00 0211 93 T Pnnted in U.S A. (NS)
Process Date: 07/28/00
INSURED COPY
Page 001 (CONTINUED ON NEXT PAGE)
Policy Expiration Date: 07 / 01 / 01
v�
p
SPECTRUM POLICY DECL `ATIONS (Continued) Q�
POLICY NUMBER: 34 SBA KN0733
Location(s), Bwlding(s), Business of Named Insured and Schedule of Coverages for Promises as designated by Number
below
Location. 001 Building: 001
2637D SOUTH MOORE DRIVE
LAKEWOOD CO 80227
Description of Business:
CONSULTANT - MISCELLANEOUS
Deductible: $ 250 PER OCCURRENCE
BUILDING AND BUSINESS PERSONAL PROPERTY LIMITS OF INSURANCE
BUILDING
BUSINESS PERSONAL PROPERTY
REPLACEMENT COST
PERSONAL PROPERTY OF OTHERS
REPLACEMENT COST
NONSY AND SECURITIES
%MSIDZ THE PREMISES
OUTSIDE TSE PREMCSBS
NO COVERAGE
$ 5,000
NO COVERAGE
$ 10,000
$ 5,000
Form SS 00 02 1193 T Printed in U.S.A. (NS)
Process Date: 07 / 2 8 / 0 0
Page 002 (CONTINUED ON NEXT PAGE)
Policy Expiration Date: 0 7 / 0l / 01
SPECTRUM POLICY DEC ATIONS (Continued)
POLICY NUMBER: 34 SBA KN0733
Locatlon(s), Bullding(s), Business of Named Insured and Schedule of Coverages for Premises as designated by Number
below,
Location: 001 Building: 001
PROPERTY OPTIONAL, COVERAGES APPLICABLE LIMITS,OF INSURANCE
TO THIS LOCATION
STRETCH COVERAGES: FORM SS Od 09
THIS FORM INCLUDES MANY
ADDITIONAL COVERAGES AND
EXTENSIONS OF COVERAGE. SOME
o OF THE MAJOR COVERAGES ARE:
0 ACCOUNTS RECEIVABLE
$
25,000
VALUABLE PAPERS AND RECORDS
$
25,000
o EMPLOYEE DISHONESTY
$
10,000
COMPUTERS AND MEDIA
$
10,000
PERSONAL PROPERTY OF OTHERS
$
10,000
No PROPERTY OFF PREMISES
$
15,000
TEMPERATURE CHANGE
$
10,000
* FORGERY OR ALTERATION
$
10,000
MONEY ORDERS AND COUNTERFEIT
$
10,000
PAPER CURRENCY
BACK-UP OF SLngERS AND DRAINS $ 25,000
Fonn SS 00 02 1193 T Printed In U S A INS) Page 003 (CONTINUED ON NEXT PAGE)
Process Date: 07 /2 8 / 00 Policy Expiration Date: 07 / 01 / 01
l QO
SPECTRUM POLICY �DECL ATIONS (Continued) \
POLICY NUMBER: 34 SBA KN0733
0
PROPERTY OPTIONAL COVERAGES APPLICABLE LIMITS OF INSURANCE �g
TO ALL LOCATIONS
BUSINESS INCOME AND EXTRA EXPENSE
COVERAGE
COVERAGE INCLUDES THE FOLLOWING
COVERAGE EXTENSIONS:
ACTION OF CIVIL AUTHORITY:
EXTENDED BUSINESS INCOME:
EQUIPMENT BREAKDOWN COVERAGE
COVERAGE FOR DIRECT PHYSICAL LOSS
DUE TO:
MECHANICAL BREAlWOWN,
ARTIFICIALLY GENERATED CURRENT
AND STEAM EXPLOSION
THIS ADDITIONAL COVERAGE INCLUDES
THE FOLLOWING EXTENSIONS
HAZARDOUS SUBSTANCES
CFC REFRIGERANTS
12 MONTHS ACTUAL LOSS SUSTAINED
30 DAYS
30 CONSECUTIVE DAYS
$ 25,000
$ 25,000
Form SS 00 02 1193 T Printed in U S.A. (NS)
Process Gate: 07 / 2 8 / 0 0
Page004 (CONTINUED ON NEXT PAGE)
Policy Expiration Date: 0 7 / 01 / 01
W POLICY DEC*
(Continued)
MBER: 34 SBA 33
LIABILITY LIMITS OF INSURANCE:
LIABILITY AND MEDICAL EXPENSES $1, 000, 000
MEDICAL EXPENSES - ANY ONE PERSON $ 10,000
PERSONAL AND ADVERTISING INJURY $1, 000, 000
FIRE LEGAL LIABILITY - FIRE, $ 300,000
LIGHTNING, OR EXPLOSION
o AGGREGATE LIMITS
PRODUCTS -COMPLETED OPERATIONS $2,000,000
o GENERAL AGGREGATE $2,000,000
m
EMPLOYMENT PRACTICES LIABILITY
COVERAGE: FORM SS 09 01
co1v EACH CLAIM LIMIT $ 5,000
Ln
0
DEDUCTIBLE - EACH CLAIM LIMIT
NOT APPLICABLE
AGGREGATE LIMIT $ 5, 000
RETROACTIVE DATE: 07012000
This Employment Practices Liability Coverage contains claims made coverage Except as may be otherwise provided
herein, specified coverages of this insurance are limited generally to liability for injuries for which claims are first made
against the insured while the insurance is in force Please read and review the insurance carefully and discuss the
coverage with your Hartford Agent or Broker
The Limits of Insurance stated in this Declarations will be reduced, and may be completely exhausted, by the payment of
"defense expense" and, in such event, The Company will not be obligated to pay any further "defense expense" or sums
which the insured is or may become legally obligated to pay as "damages".
Form SS 00 02 1193 T Printed in U S A (NS) Page 005 (CONTINUED ON NEXT PAGE)
Process Date: 0 7 / 2 8 i 0 0 Policy (Expiration Date: 07 / 01 / 01
SPECTRUM POLICY DECL ATIONS (Continued)
POLICY NUMBER: 34 SBA KN0733
Form Numbers of Forms and Endorsements that apply:
SS 00 01 04 93
SS 01 33 08 94
SS 04 41 07 97
SS 04 48 10 96
SS 09 01 07 99
SS 00 05 06 96
SS 01 83 02 93
SS 04 42 07 97
IH 10 01 09 86
SS 09 42 07 99
SS 00 07 07 97
SS 02 02 12 97
SS 04 46 10 96
SS 05 09 03 92
M.
SS 00 08 02 98
SS 04 08 07 97
SS 04 47 10 96
SS 05 41 02 98
Form SS 00 02 1193 T Printed in U S A. (NS) Page 006
Process Date: 07 / 2 8 / 0 0 Policy Expiration Date: 07/01/01