HomeMy WebLinkAboutTHE PREMIER COMPANY LLC - INSURANCE CERTIFICATE (2)ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID SJ DATE (MM/DD VYV )
- PREMI-3 12 30 OB
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Yergey Insurance Agency / PI HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7420 Heritage Village Plaza ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Gainesville VA 20155
Phone: 571-248-6665 Fax:571-248-6656 INSURERS AFFORDING COVERAGE NAIC #
..INSURED
INSURER A. United States Liability ins 00 25895
INSURER B
The Premier Company LLC --- -- ---- - --- -- ---
Premier EmptoYment 6creening INSURER
113 South College
Fort Collins CO 80524 INSURERD — _
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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.
SR O ...__ ___. ___. _. _ _
LTR NSR TYPE OF INSURANCE POLICY NUMBER pFDATE WDD/YUE PDATE IMMIl DIYY) -- ---'LI --' --
DATE MMIOD/YV DATE MMIDD/YY LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE
$ 1 000 000
X
-DAMAGI TO -RENTED—_
pREMISES(Eaocrence),
r r
$50,000
A
COMMERCIAL GENERAL LIABILITY
SP1008729C
02/09/09
02/09/10
CLAIMS MADE OCCUR
cu
IVIED EXP (Any one person)
s5,000
PERSONAL & ADV INJURY
$ 1 000 000
X
E&O
A
r r
GENERAL AGGREGATE
s2,000,000
GENE AGGREGATE LIMIT APPLIES PER
PRODUCTS-COMP/OP AGO
$2r000 000
X POLICY JE� LOC
_.._—__._.___.._
_.. __-1-_
AUTOMOBILE
LIABILITY
SINGLE LIMIT
$
ANY AUTO
t)
ALL OWNED AUTOS
--
JURY
$
SCHEDULED AUTOS
71NED
)HIRED
AUTOS
JU""--
$
NONOWNED AUTOS
nt)
DAMAGE
$
(Per accident)
GARAGE LIABILITY
..._
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
EA ACC
-
OTHER THAN
$
AUTO ONLY:
AGG
-- ------ ---'-
$
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR C-I CLAIMS MADE
-
AGGREGATE
$
DEDUCTIBLE
RETENTION
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORYLIMITS ER
ANY PROPRIETOR/PARTNEWEXECUTIVE
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
--"----"''--__--'
-----
If yes, describe under
_ E.L.DISEASE- EA EMPLOYEE
$
SPECIAL PROVISIONS rail.E.
L. DISEASE -POLICY LIMIT
$ -
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
Background Investigator
rconerr nTc un, Ice
CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
300 La Porte Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins CO 80521 REPRESENTATIVES.
A4TVORIZED REPRESENTATIVE
25 (2001108)
F-Tot