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Home My WebLink About128724 PATHWAYS HOSPICE - INSURANCE CERTIFICATEClient#: 25370 PATHHOS ACORD. CERTIFICATE OF LIABILITY INSURANCE iE D5/0112DD/YYYYI s/ovzolz 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 endomement(s). PRODUCER IMA,Inc.- Colorado Division 1550 17th Street, Suite 600 Denver, CO 80202 303-534-4567 CONTACT NAME: PHONE 303-534.4567 303.534.0600 NC No Est : AIC No EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN INSURER A: American Alternative Ins.(`) 19720 INSURED �p� Pathways Hospice 0 305 Carpenter Road Fort Collins, CO 80525 INSURER B: INSURER C INSURERD: INSURER E INSURER F: *Glatfelter Insurance Group 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 CONTRACTOR 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. LTR TYPE OF INSURANCE NORL SUBF WVD POLICYNUMBER MMMDYIYYYY Y UP MMIDD/N"Y LIMITS A GENERAL LIABILITY VHHHHG305361203 5101/2012 05/01/2012 EACHOCCURRENCE$1006000 X COMMERCIAL GENERAL LIABILITY PREMI9E5 EaEoNrctirtance $1 000000 it CLAIMS -MADE OCCUR MED UP (Any one person) $50 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3,000,000 POLICY jE T LOC $ AUTOMOBILE LIABILITY SINGLE LIMIT (Ea Ea amdenl BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident S NON-0WNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CI -AIMS -MADE DED RETENTION$ $ COMPENSATION STATU- DT+WWORKERS AND EAIPLOYERS'UABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED] NIA E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yea, descdee under DESCRIPTION OF OPERATIONS Below E.L. DISEASE -POLICY LIMIT $ IT I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addldonal Remarks Schedule, If more space Is required) RE: Event for "Breakfast in the Park" July 23, 2011. City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement subject to the policy terms and conditions. City of Fort Collins P.O. 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 ACORD 25 (2010105) 1 Of 1 #S814750/M814455 IS 19UU-ZUIU ACUKU CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NFM