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Home My WebLink AboutTHE PREMIER COMPANY LLC - INSURANCE CERTIFICATE (6)ORS'® CERTIFICATE OF LIABILITY INSURANCE OF ID SJ [_76ATE(MW15DNYYY) 02 02 11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW;..THIS CERTIFICATE OF INSURANCE -DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S)AUTHORIZED — -- — REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER NAME: Yergey Insurance Agency / PI PHONEFAX AIC, No, Ext : (A/C, No): ADDRESS: 7420 Heritage Village Plaza Gainesville VA 20155 PRODUCE PREMI-3 Phone:571-248-6665 Fax:571-248-6656 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: united states Liability Ins Co 25895 The Premier Company, LLC Premier Employment Screening 113 South College Fort Collins CO 80524 INSURER B INSURER C: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 PREMISES(Eaoccu«ence) $ Included A X COMMERCIAL GENERAL LIABILITY SPI008729F 02/09/11 02/09/12 CLAIMS -MADE � OCCUR MED EXP (Any one person) $ 1,000 PERSONAL &ADV INJURY $ 2,000,000 X E&O GENERAL AGGREGATE $ 2, 000, 000 A SPI008729F 02/09/11 02/09/12 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC Jr $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER E.L. EACH ACCIDENT $ - - ANY PROPRIETOR/PARTNER/EXECUTIVE _ _ OFFICERIMEMBER EXCLUDED?' - -' / A- - - - - -- --- ' --- - - -- - -- - -- - - - E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is listed as an additional insured with respects to the work performed by the named insured. CERTIFICATE HOLDER CANCELLATION JCity of Fort Collins 300 La Porte Ave Fort Collins CO 80521 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYFTC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2009 ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD All riahts reserved.