HomeMy WebLinkAboutPARKEON INC - INSURANCE CERTIFICATEAC !tO O®
CERTIFICATE OF LIABILITY INSURANCE
DATE(MMAD01M'YY)
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 endorsmnent(s).
PRODUCER
Aon Risk Services Northeast, Inc.
New York NY Office
CONTACT
NAME:
PHONE (8667 283-7122 FNt (800) 363-0105
(AIC. No. Ea: A,O. Nw:
E-MAIL
ADDRESS:
199 Water street
New York NY 10038-3551 USA
INSURER(S) AFFORDING COVERAGE
NAIC M
INSURED
INSURER A: Twin City Fire Insurance Company
29459
Parkeon. Inc.
40 Testown Dr. Unit 7
Moorestown NJ 0Unit USA
INSURER 6: Sentinel Insurance Company, Ltd
11000
INSURER C: ACE American Insurance Company
22667
INSURER 0:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570052200080 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. Limits shown are as requested
LTR
TYPE OF INSURANCE
1WR
WVD
POLICY NUMBER
MMIO
MMo6c,,r,Y1
UMITS
GENERAL LIABILITY
OGLO
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
PREMISES .ommmnce
$1,000, 000
CLAIMS -MADE Fx] OCCUR
MED UP (Any one person)
$10, 000
PERSONAL&ADVINJURY
S1,000,000
GENERALAGGREGATE
$1,000,000
GEN'L AGGREGATE UMR APPLIES
PER:
PRODUCTS -CONPIOP AGG
$1,000,000
X POLICY PRO
LOC
a
AUTOMOBILE LIABILITY
13 UEN VE405S
1111712013
1111112014
COMBINED SINGLE LIMIT
e.mNenl
51,000,000
BODILY INJURY( Par person)
% ANY AUTO
BODILY INJURY(Peracedent)
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON-0WNEO
AUTOS
PROPERTYOANAGE
er adatlent
m1135W .'35W
C
X
UMBRELLAUAB
%
OCCUR
XOOG24997194
1 1 2 14
01 01 2015
EACH OCCURRENCE
$6,000,000
EXCESS UAB
CLAIMS -MADE
SIR applies per policy terns
& cond-1
ions
AGGREGATE
$6,000,000
OED X
RETENTION
A
WORKERS COMPENSATION AND
EMPLOYERS' UABILITY YIN
ANY PROPRIETOR I PARTNER I EXECUTNE
OFFICEMafMBER ENLLVOCD? N
(Maon.W, ANHI
NIA
1 WEB5428$
11
11 17 014
WC STATU- OTH.
X TORY LIMITS
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
uye deeanbe ender
OE SCRIPTION OF OPERATIONS bebw
E.L. DISEASE -POLICY LIMIT
51,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ana.h ACORD tat, Additional Remad,s Scheduk, t more space is regWred7
Evidence of coverage
`m
c
m
9
0 0
S
CERTIFICATE HOLDER CANCELLATION al
SHOULD ANY' OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE HILL BE DELNERED IN ACCORDANCE NTH THE
POLICY PROVISIONS.
City of Fort Collins AUTHORIZED REPRESENTATNE
215 N Mason St.
Fort Collins CO 80524 USA
Vr101a alG/L1'G V GGGE(2'cd c/ //tLF1�G el sut
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD