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HomeMy WebLinkAboutPEAK LEADERSHIP CONSULTING - INSURANCE CERTIFICATEPEAKLEA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYY1') 6/15/2011 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 Commercial Lines - (330) 726-8861 Wells Fargo Insurance Services USA, Inc. 8561 Market Street CONT NAMEACT Linda McLaughlin EMDgIL 330-729-2632 aIc Ne : 330-726-8997 ADDRESS Linda. mclaughlin@wellsfargo.com INSURERS AFFORDING COVERAGE NAIL % INSURER A: Continental Casualty. Company 20443 Youngstown, OH 44512-6727 INSURED Peak Leadership Consulting INSURER B Hartford Accident and Indemnity Company 22357 INSURER C 4548 Seaway Circle INSURER D INSURER E'. INSURER F'. Fort Collins, CO 80525 rvorinrnrc knihitmco. 2875356 RFVISI(1N NI IMRFR' coa h.1—, v 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 R TYPE OF INSURANCE IADDLSUBR POLICY NUMBER POLICY MMIDDIYEYYY POLICY EX MMIDDIYYYYFF I LIMITS A LGENERAL LIABILITY I II COMMERCIAL GENERAL LIABILITY CLAIMS-IAAOE FxIOCCUR X 403075265 O6/10I201 06/10/20121 I EACH OCCURRENCE DAMAGE_ To RENTED I PREMISESIEe NTIEDncol S 1,000,000 E 300.000 DIED EXP (Any one Pem i Is 10.000 PERSONAL S ADV INJURY S 1,000,000 GENERAL AGGREGATE 5 2.000.00D GEN'L AGGREGATE LIMIT APPLIES PER: X I POLICY 71 PRO- ,n LOC PRODUCTS - COMPIOP AGG S 2,000,000 s A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS NON -OWNED HIREDAUoOS AUO X 4030752651 06110/20/1 06/10/`2012 COMSINEO SINGLE LIMIT Ea accident) 1.000,OIlO BODILY INJURY )Per person) 3 BODILY INJURY (Per accident) S PROPeER meIm'pAMAGE $ 3 UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE 3 DEO RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNERIEXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandate, In NH) It Cy OPERATIONS beiow NIA 45WECVY2321 I 11611112111 06/01/2012 X I WC STATU OTH- TORY-ER E L. EACH ACCIDENT 5 100.000 E.L. DISEASE -'cA EMPLOYEE(8 500.000 E.L. DISEASE -POLICY LIMIT $ t00.000 I DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space is required) SB-146932-D (Ed. 07/09) City of Fort Collins is Additional Insured. Reference form SB300120B 0410. [up City of Fort Collins Attn: Purchasing PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C� The ACORD name and logo are registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) m..—caue.I.— w,p,,.. rw.sle,.,,..e w., n CNA SB-300120-B (Ed. 04/10) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM SCHEDULE` Name Of Person Or Organization: A. The following is added to Paragraph C. Who Is An Insured: 4. Any person or organization shown in the Schedule is also an insured, but only with respect to liability C. arising out of your ongoing operations performed forthatinsured. B. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for 'bodily injury,' 'property damage,' or 'personal and advertising injury' caused in whole or in part by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf in the performance of your ongoing operations for the additional insured(s); or c. 'Your work' that is included in the 'products - completed operations hazard' and performed for the additional insured, but only if this Policy provides such coverage, and only if the written contract or written agreement requires you to provide the additional insured such coverage. This insurance provided to the additional insured terminates when your operations for the additional insured are complete. But if the written contract or written agreement specifies a date until which this insurance must apply, then this insurance terminates: 1. On the date specified in the written contract or written agreement; or 2. When this policy expires or is cancelled, whichever occurs first. D. The following is added to Paragraph H. of the Businessowners Common Policy Conditions: H. Other Insurance This insurance is excess over any other insurance naming the additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance be either primary or primary and noncontributing. SB-300120-B Page 1 of 1 (Ed. 04/10)