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HomeMy WebLinkAbout111721 THE PEOPLE BUSINESS & THIRD SECTOR ENTERPRI - INSURANCE CERTIFICATEPEOPLA OP ID: DA
,d►tcoRo CERTIFICATE OF LIABILITY INSURANCE
OAT12/11 DYYYY)
F /„/, 2
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 endorsements .
PRODUCER Phone: 970-482-7747
Brown & Brown Inc Fax: 970-484-4165
4532 Boardwalk Dr, Suite 200
CONTACT
PHONE FAX
ac No Eat), AIC No
Fort Collins, CO 80525
House Account
E-MAIL
ADDRESS:
\INSURER
I0NSURERO AFFORDING COVERAGE
NAIL p
A: Hartford Casualty Insurance Co
29424
INSURED The People Business Inc
& Third Sector Enterprises
1625 Lakeshore Dr
INSURER B:
INSURER C:
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 CLAIMS.
INSR rypE OF INSURANCE ADDL BR POLICY EFF POLICY EXP
LTR POLICY NUMBER MM/ODIYYYY MMIDD/YYYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,00
A
X COMMERCIAL GENERAL LIABILITY
X
34SBAGQ1972
01/08/13
01/08/14
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 300,00
CLAIMS -MADE 111 OCCUR
VIED EXP (Any one person)
IS 10,00
PERSONAL& ADV INJURY
$ 1,000,00
X Business Owners
GENERAL AGGREGATE
8 2,000,00
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
IS 2,000,00
POLICY PRO LOC
$
LI
EaABILITY COMBI dent) NED SINGLE LIMIT
acci
IS1,DDU,DD
BODILY INJURY (Per person)
$
AANY
AUTO
34SBAGQ1972
01/08113
01/08/14
POMOBILE
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
$
UMBRELLA LULB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LAB
CLAIMS -MADE
DED RETENTION $
I
IE
WORKERS COMPENSATION
WC STATU- OTH-
AND EMPLOYERS' UABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
N I A
T Y ER
E.L. EACH ACCIDENT
1 $
DISEASE - EA EIf MPLOYEE
Ee
$
(Myandatory In NH)
describe under.L.
DESCRIPTION OF OPERATIONS Geld.
I E.L. DISEASE -POLICY LIMIT
E
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
jstephen@fcgov.com
City of Fort Collins
John Stephen
Purchasing Department
PO Box 580
FTCPURC
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 (2010/05)
©1988-2010 ACORD
The ACORD name and logo are registered marks of ACORD
All rights reserved