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Home My WebLink AboutHR SOLUTIONS & SERVICES LLC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE (MM/DDYYYY) F377/2015 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(ies) 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 corder rights to the certificate holder in lieu of such endorsement(s). PRODI/CM NORTHEAST AGENCIES INC/PHS 210500 P: (866) 467-8730 F: (888) 443-6112 301 WOODS PARK DRIVE CLINTON NY 13323 coNrncr NAME PHONE . No.Eri) (866) 467-8730 wC.Nor (888) 443-6112 q RESS: INSURERS) AFFORDING COVERAGE NAIG# INSURER A: Hartford Casualty Ins Co arsw+® HR SOLUTIONS & SERVICES, LLC PO BOX 64106 COLORADO SPRINGS CO 80962 INSURER R INSURER C. INSURER INSURER 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 TYPEOFINSUTANLT AIWI SVBA POLK17'NUMBER FOLICYEFF POLICYEAP LL11M COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S l, 000, 000 CLAIMS -MADE � OCCUR DAMAGES ( RENTED PREMISES (EaRENTED occurrence) e 3 0 0 0 O O X X MED EXP(Any one person) s10,000 A General Liab 01 SBA RE4362 03/19/2015 03/19/2016 PERSONAL &ADV INJURY sl, 000, 000 GEN-L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s2,000,000 PRODUCTS -COMP/OP AGG S 2, 0 0 0, O O O POLICY � JECT LOC OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) s l, 0 0 0, 0 0 0 BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED 01 SBA RE4382 03/19/2015 03/19/2016 ��r BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE (Per accident) S X HIRED AUTOS X NON -OWNED AUTOS - S I UMBRELLA LIAB OCCUR EACH OCCURRENCE g Eft MLIAR CLAIMSMADE AGGREGATE 04 REiFOOnON r $ a'OZKIMFCe.Qf.HS,fmll.'v .WDEMIfOIEISrreeHM PER R STATUTE R EE E.L. EACH ACCIDENT S ANY PROPRIETOMPARTNEWEXECUTIVEWN OFRCER/MEMBER EXCLUDED? ❑ (MancladWin MR) WA E.L. DISEASE- EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT ' If yes. describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OFOpStATOONS /LOCATIONS J VEHROMRO 101, Additional Remarks Schedule, may be attached if more space is requirsM 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. &9� N 119L"LTl �0,111 ar, SIN CITY OF FORT COLLINS ATTN: PURCHASING PO BOX 580 FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE '%a CO 1988-2014 ACORD CORF ed. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD