HomeMy WebLinkAboutAPS HEALTHCARE - INSURANCE CERTIFICATE (6)n1:o..rx• �1n1an
ACORD- CERTIFICATE OF LIABILITY
INSURANCE
04/14 6DDlrrrvl
PRODUCER
"Ifachovia Insurance Services, Inc.
01 H Street NW 7th Floor
G
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 e: 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,
T
N R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
PDAICY TEIMMID TK7NOrM
LIMITS
A
GENERAL LIABILITY
42UENAC1551
04/15/06
04/15/07
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO ENTED R
$300000
CLAIMS MADE a OCCUR
MED DLP (Any one person)
$1 O 000
PERSONAL S ADV INJURY
$1 000 000
GENERAL AGGREGATE
$2 OOO OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2000000
RO-
POLICY JEC LOC
A
AUTOMOBILE
LIABILITY
42UENAC1551
04/15/06
04/15/07
COMBINED SINGLE LIMIT
ANY AUTO
(Ea accident)
$1000 ,GOO
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
(PM Parson)
BODILY INJURY
$
X
HIRED AUTOS
X
NON-OWNEDAUTOS
(PWnddent)
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY -EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
0
S
AUTO ONLY: AGG
A
EXCESSIUMSRELLALIABILITY
42HHUUG5563
04115106
04M5107
EACHOCCURRENCE
$5000000
X OCCUR CLAIMS MADE
AGGREGATE
$5 00O 000
S
$
DEDUCTIBLE
$
RETENTION $
B
WORKERS COMPENSATION AND
42WBPB7626
04/15/06
04/15/07
X WC STATU- OTH-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$500000
ANY PROPRIETORIPARTNERIEXECUTNE
E.L. DISEASE - EA EMPLOYEE
$500000
OyFFICERIMEMBER EXCLUDED?
as
SPECIAL PROVISIOr S below
E.L. DISEASE - POLICY LIMIT
$500000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
Evidence of Insurance. Insurance will be renewed with similar coverages
on April 15, 2006.
City of Fort Collins
Fort Collins, CO 80522
ACORD 25 (2001108) 1 of 2 #M1005294
I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _g0_. 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
AUTHORIZE SENTATIVE (Af,!:
R.IAn1 0 ACORD CORPORATION 198a