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Home My WebLink About244325 TURNING POINT FOR YOUTH & FAMILY DEVELOPMEN - INSURANCE CERTIFICATE (2)rrs.,TM CERTIFICATE OF LIABILITY INSURANCE Do7/22/DATE/2011ou) 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 C N A NAME: Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 Pa"c°iia Eat: 970.679.7355 FAX, Na:866.237.2178 EMAIL ADDRESS: CUPRODUCER STOMER ID, 00007818 INSURER(S) AFFORDING COVERAGE NAICO INSURED INSURER A: Philadelphia Insurance Group G9352 Turning Point for Youth and Family Development INSURERS: Pinnacol Assurance 41190 1644 S. College INSURER C: Fort Collins, CO 80525 INSURERD: INSURER E INSURER F COVERAGES - — CERTIFICATE NUMBER.: 11-12 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 ADDL INSR SUBR MD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY PHPK75033 08/01/2011 08/01/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE TRENTED PREMISES Ea occurrence $ lOO,000 ME D EXP(Any one Person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY n JECT PRO- LOC PRODUCTS - COMP/OP AGG S 3,000,000 $ AUTOMOBILE LIABILITY ANY AUTO PHPK75033C 08/01/2011 08/01/2012 EOM�BINOEeDI'INGLE LIMIT $ 1,000,000 , 000, 000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par accident) $ .� NON -OWNED AUTOS X $ X UMBRELLA LIAB X OCCUR PHUB35357 08/01/2011 08/01/2012 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 A EXCESS LIAB CLAIMS -MADE DEDUCTIBLE g X RETENTION $ 10,00 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORJPARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? NIA 404416110/D112010 10/01/2011 _ XCSTATU- OTH- TWRY (MIT ER E.L. EACH ACCIDENT $ $00, 000 E. L. DISEASEEAEMPLOYEE $ 5009000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 A Professional Liability PHPK75011 08/01/2011 08/01/2012 $3,000,000 Aggregate $1,000,000 Occurrence DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace is required) E: Pedal to the Point 2011 - August 14, 2011 ertificate Holder is named Additional Insured as regards the General Liability policy for this vent. CERTIFICATE HOLDER CANCELLATION City of Fort Collins P.O. Box 580 Forst Collins, CO 80522-OS80 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 AwrcU ZD(ZUU9/Ua) 1988-2009 ACORD [he ACORD name and logo are registered marks of ACORD reserved.