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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