HomeMy WebLinkAbout111721 THE PEOPLE BUSINESS INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE OP ID DA DATE(MMIDDYYYV)
O1 06 12
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:
PHONE FAX
AIC, No, Eat: (AIC, No):
Brown & Brown Inc
4532 Boardwalk Dr, Suite 200
ADDRIESS:
Fort Collins CO 80525
-PRODUCER
PRODUCER ID a: PEOPL-1
Phone:970-482-7747 Fax:970-484-4165
INSURER(S) AFFORDING COVERAGE
NAICa
INSURED
INSURER A: Hartford Casualty insurance Co
29424
The People Business Inc,
& Third Sector Enterprises
INSURER B:
INSURER C:
1625 Lakeshore Dr
Ft Collins CO 80525
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 CL)kIMS.
LTR
TYPE OF INSURANCE
N S R
WVDI
POLICY NUMBER
iltil /YYYY)
(MMIDDIYYVY) YE
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X Business Owners
X
34SBAGQ1972
01/08/12
01/08/13
EACH OCCURRENCE
$1,000,000
-DAMAGE TO F, D
PREMISES(Eaoccunence)
$300,000
MED EXP (Any one person)
$10,000
PERSONAL It ADV INJURY
$ 1, 000, 000
GENERAL AGGREGATE
$ 2, 000, 000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY n JECOT LOC
PRODUCTS-COMPIOP AGG
$ 2,000,000
S
AUTOMOBILE
LIABILITY
AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
34SBAGQ1972
01/08/12
01/08/13
)ANY
$1,000,000
RY IPer person)
$
WCOMBINEDSINGLELIMITSINGLELIMIT
RY (Per accitlenl)
$
DAMAGEX
)
$
X
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIV�
OFFICERWEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
IA
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 Additional Remarks Schedule, a more space is rebuiretll
City of Fort Collins is included as Additional Insured per form )S0008 0405
jstephen@fcgov.com
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
John Stephen
Purchasing Department
PO Box 580
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
FTCPURC I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
ACORD
ACORD 25 (2UU9IU9) The ACORD name and logo are registered marks of ACORD