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HomeMy WebLinkAboutPARKEON INC - INSURANCE CERTIFICATE (6)�, Ate_ CERTIFICATE OF LIABILITY INSURANCE D TE(MM12015 Y) 02I2412015 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 endorsement(s). PRODUCER AOD Risk services NOrthed5t, Inc. New York NY Office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Exq: (Alc. No.: E-MAIL ADDRESS: 199 water Street New York NY 10038-3551 USA INSURER(S) AFFORDING COVERAGE NAIC9 INSURED INSURER A. Travelers Indemnity Co of Ct 25682 Parkeon, Inc. INSURERS: ACE Property & Casualty Insurance Co. 20699 40 Twosome Dr. Unit 7 Moorestown NI 08057 USA INSURER C: ACE American Insurance Company 22667 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 5[UU56877493 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 L TYPE OF INSURANCE INSD WVO POLICY NUMBER MM/D M'YV MMTDD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY OGLG 1 EACH OCCURRENCE $1,000,000 CLAIMS -MADE x]OCCUR PREMISES Es occurrence)$1,000,000 MED EXP (Any one person) S10, 000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $1,000,000 X POLICY O�ET �LOC PRODUCTS - COMP/OP AGG S1,000,000 OTHER: A AUTOMOBILE LIABILITY BA-1F74188A 11/17/201411/17/2015 COMBINED SINGLE LIMB e acci n $1,000,000 BODILY INJURY ( Per person) ANY AUTO BODILY INJURY(Per accident)AUTOSAUTOS ALL OWNED SCHEDULED HIREDAUTOSPNON-OWNEDAUTOS Ix PROPERTY DAMAGE PerarridentCal $lobo ComPS1000 B x UMBRELLA LIAR X OCCUR XOOG24997194 01 01 2 115 01 01 2016 EACH OCCURRENCE $6,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $6,000,000 DED X RETENTION 110,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/ PARTNER I EXECUTIVE HEUB1F74188A 11 1 2014 11 1 2 15 X PER DTH- STATUTE E.L. EACH ACCIDENT $1,000,000 OFFICEMMEMBER EXCLUDED? (Mandatory in NH) ❑ N/A E.L. DISEASE -EA EMPLOYEE $1,000,000 II yes, desalbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Renarks Schedule, may be attached 8 mm space 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 AUTHORIZED REPRESENTATIVE 215 N Mason St. Fort Collins CO 80524 USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD