HomeMy WebLinkAboutWESTRIAN GROUP INC - INSURANCE CERTIFICATE1
ACORI
CERTIFICATE OF LIABILITY INSURANCE
09-18-2012
THIS CERTIFICATEIS 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 policylies) must be endorsed. If SUBROGATIONIS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the
certificate holder in lieu of such endorsementls).
PRODUCER
CONTACT
PHONe
LOCKTON COMPANIES LLC/PHS
FAx
(-.A(IL =n: (a66)4a7-e73o I(AIc.NP,: (877)90s-045
340808 P: (866)467-8730 F: (877)905-0457
PO BOX 33015
ADDRESS:
INSURERIS) AFFORDING COVERAGE NAIC#
SAN ANTONIO TX 78265
INSURERA: Sentinel Ins Co LTD
INSURED
INSURER B:
INSURER C :
WESTRIAN GROUP, INC
7200 S ALTON WAY STE C100 & C400
INSURER D :
INSURER E
CENTENNIAL CO 80112
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.
'LTNR
TYPE OF INSURANCE
INSR
WVO
POLICY NUMBER
(MMIDDIPYYVI
I (MMIDDIYYYYI
LIMITS
GEN ERAL LIABILITY
EACH OCCURRENCE
$ 1, 000, 000
lED
PREMISES Es occcurrence)
$ 1, 000, 000
A
L LIABILITY
COMMERCIAL GENERAL I
CLAIMSMADEX OCCUR
XI General Liab
_I
H
_
a
34 SBA PK5870
10/01/2012
10/01/2013
MED EXP Any one Poison)
$ 10,000
PERSONAL & ADV INJURY
$ 1 000 000
GENERAL AGGREGATE
s 2, 000, 000
GEN'L AGGREGAATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
5 2,000, 000
�
POLICY A JECT LOC
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea scciden0
$
ANYAUTO
BODILY INJURY (Per Person)
INJURY (Per (Per Person)
1 5
I� ALL OWNED I �SCHEDULED
AUTOS u AUTOS
HIRED AUTOS ff INON OWNED
!—I u AUTOS
u
u
BODILY INJURY IPer accidenU
S
PROPERTY pAMAGE
IPer accidenq
S
I5
X
UMBRELLA LIAR u OCCUR
EACH OCCURRENCE
I$ cj _000, 000
Al
I EXCESS LIAB CLAIMS -MADE
I
E]
IJ
34 SBA PK5870
10/01/2012
10/01/2013
AGGREGATE
$ rj QQQ QQO
DEDIXI RETENTION $ 10,0001
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNERIEXECUTIVE—
OFFICERIMEMBER EXCLUDED? U
NIA
JI
I WE STATUS OT
I
E.L. EACH ACCIDENT
5
E.L. DISEASE - EA EMPLOYEE
$
(Mendstory in NH)
It yes, describe under
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
El
DESCRIPTION DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAtm[n ACORD 101, Additional Remarks Sch.dule, it more space is repuiredl
Those usual to the Insured's Operations.
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
Attn: James O'Neill, CPPO
P 0 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.
AUTHORIZEQ fl PRESENTATIVE
e1
ACORD 25 12010/05) The ACORD name and logo are registered marks of ACORD
All rights reserved.