HomeMy WebLinkAboutHR SOLUTIONS & SERVICES LLC - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE
DATE (MNUDD�
3/9/2014 )
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 policy(fes) must be endorsed. If SUBROGATIONIS 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
NORTHEAST AGENCIES INC/PHS
NAME:
NAME
PHONE (u.No. E.0 (866) 467-8730
ial`c.Ne): (888) 443-6112
210500 P:(866) 467-8730 F:(888) 443-6112
301 WOODS PARK DRIVE
0ESS,
INSURER(S) AFFORDING COVERAGE NAIGN
CLINTON NY 13323
INSURER A: Harttord Casnalty Ins Co
INSURED
INSURERS:
INSURER C:
HR SOLUTIONS & SERVICES, LLC
INSURER U:
PO BOX 64106
INSURER E:
COLORADO SPRINGS CO 80962
INSURER F.
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.
/.YSR
TF"PPOF MSrJRAAYi'
APLNI
SUN
POL/Cl'A'O.NNFR
POL/Cy'£FF
POL/CYFXP
1"
IYI'
.LM1f/DIVTYY
LMR/J
COMMERCUILGENERALLIABIIJTY
EACH OCCURRENCE
$1, 000, 000
CLAIMS -MADE F__1
OCCUR
DAMAGE TO
PREMISES (E.ENTED gzurmnce)
$300, 000
X
X
MET E)UP(Any one person)
$10, 000
A
General Liab
01 SEA RE4382
03/19/2014
03/19/2015
PERSONAL B ADV INJURY
;1, 000, 000
GEN'L AGGREGATE LIMIT PER
GENERAL AGGREGATE
$2, 000, 000
PRO -APPLIES
POLICY JECT LOC
PRODUCTS - COMP/OP AGO
s2,000,000
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea au,iderd)
$1, 000, 000
BODILY INJURY (Per person)
$
ANYAUTO
A
AULLTOSNED SCHEDULED
01 SBA RE4382
03/19/2014
03/19/2015
BODILY INJURY (Per accident)$
HIRED AUTOS X NON -OWNED
AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
$
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
UGESS UA9
CLAIMS -MADE
AGGREGATE
$
OE
RETENNONS
$
N"OR6FRS CO.YPRN.SAT/ON
ANOGMPlOPERd"L(.ID¢RP
pER pTN_
STATUTE ER
ANY PROPMETOR/PARTNEWEXECUTIVENN
IM
OFFICEREMBER EXCLUDED?
E.L EACH ACCIDENT
$
(Ma(MMory iR NN)
❑
N/A
E.L. DISEASE- EA EMPLOYEE
$
It yes, descdbe antler
DESCRIPTION OF OPERATIONS below
E.L DISEASE -POLICY LIMIT
$
OESCR(PT/ONOFOPERATNXJS/LOCAT/ONS/WHA*=RD 101, Ad ioaal Remarks Schedub, may boaH chnd B more spaw is r uiredl
Those usual to the Insured's Operations. The City of Fort Collins its
officers, agents, and its employees are Additional Insured per the Business
Liability Coverage Form SS 00 08, and the Hired Auto and Non -Owned Auto
Endorsement SS 04 38 attached to this Policy.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
CITY OF FORT COLLINS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ATTN: PURCHASING AUTHOPQEDR RESFs/TATJW
PO BOX 580
FORT COLLINS, CO 80522�-
�,,,,� t✓ laoo-co Iv AI UnU wUKFVKA I ION. All rlahts resery
t-- •�•- •/ 1 nc PS wmv Ronne ana Togo are reglsrerea marks 01 ACORD