HomeMy WebLinkAboutPARKEON INC - INSURANCE CERTIFICATE (2)�L �® CERTIFICATE OF LIABILITY INSURANCE
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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) most 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
Aon Risk Services Northeast, Inc.
New York NY Office
CONTACT
NAME:
PHONE(966) 283-7122 fAI (600) 3fi3-0105
(A/C. No. E#): AIL. Ne.:
IEAIAIL
199 water Street
New York NY 10038-3551 USA
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAICM
INSURED
INSURER IA ACE American Insurance Company
22667
Parkeon. Inc.
40 Twosome Dr. Unit 7
Moorestown N3 08057 USA
INSURER B: Travelers Indemnity Co Of Ct
25682
INSURER C:
elSURER D:
.SURER E.
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570055876359 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
INSR
LTR
TYPE OF INSURANCE
INSO
WVO
POLICY NUMBER
Memoo
MMID
LIMITS
A
OGLG
1 1
1
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE ED OCCUR
#COMMERCUNI.OUSERALUMILITY
PR EMISES Ea ocamnre
$1,000, 000
MED UP (My one person)
S10,000
PERSONAL S ADV INJURY
$1,000,000
GENL AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$1,000,000
X POLICY ❑PEQ F—]LOC
PRODUCTS -COMPIOP AGO
S1,000,000
OTHER:
B
AUTOMOBILE LIABILITY
BA-1F74188A
11/17/201411/17/2015
COMBINED SINGLE LIMIT
Ma een
$1, 000, 000
BODILY INJURY(Pio,.n)
X ANY AUTO
BODILY INJURY (Per amden0
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRECAUTOS NON-0WNED
AUTOS
PROPERTY MMAGE
Peracbdent
A
UMBRELLALIAB
X
OCCUR
XOOG24997194
01/01/2014
01/01/2015
EACH OCCURRENCE
S6,000,000
IDED
EXCESS LIARCLAIMS-MADE
AGGREGATE
$6,000,006
%
RETENTION$10, 000
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY YIN
ANY PROPRIETORI PARTNER I EXECUTIVE
oFFICEPJMEMHER EXCLUDED?N/A
HEUBIF74188A
11/17/201411/17/2015
X PER oTH-
STATUT
E.L.EACHACCIDENT
$1,D0D,DDD
E. L. DISEASE -EA EMPLOYEE
S1, 000,000
(Mandatary.. NH)
nyy deern".rder
0 SGRIPTION OF OPERATIONSNelow
E.L. DISEASE -POLICY LIMIT
$1,000'000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddiUmal Remark Schedule, may Ca anach,W If man spoce is required)
Evidence Of Coverage
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
City of Fort Collins AUTHOREED REPRESENTATIVE
215 N Mason St.
Fort Collins CO 80524 USA t i'JiL61r<AdL// JL
171988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD