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Home My WebLink AboutTELELANGUAGE INC - INSURANCE CERTIFICATETELEL-1 OP ID: CD ,A`oszo CERTIFICATE OF LIABILITY INSURANCE D03/26//2 Y015 3/265 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 endorsements . PRODUCER CONTACT J. Darrin Gross Leonard Adams Insurance, Inc. NAMEPHMEE 5 Darrin Gros- FAX 5201 SW Westgate Dr, Suite 300 No: 503-296-0044 Portland, OR 97221 EAppRLEgS; darringClacoinsurance.com J. Darrin Gross INSURER A: Sentinel Insurance Company 11000 INSURED Telelanguage Inc INSURERB:SAIF 514 SW 6th Ave, 4th FI INSURER C: Travelers Property Casualty 36161 Portland, OR 97204 INSURER D:Scottsdale Indemnity Company 15580 INSURER E : 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. ILTR TYPE OF INSURANCE ADDL UB POLICY NUMBER MProY EFF NYYn MPOLICY EXP LIMITS — — A GENERAL UABILRY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X 52SBAPW5861 03/17/2015 03/17/2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence S 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL &ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG S 2,000,00 S A AUTOMOBILE LIABILITY ANY AUTO AUTOS NED AUTOS ED HIRED AUTOS X NON -OWNED AUTOS 52SBAPW5861 03/1712015 0311712016 COMBINED BIINEEDD SINGLE LIMIT E 1,000,00( BODILY INJURY (Per parson)ALLOW S BODILY INJURY (Par so:itlaM) $ X PROPERTY DAMAGE PER AC IDEN $ $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE 52SBAPW5861 03/1712015 03/17/2016 EACH OCCURRENCE $ 2,000,000. AGGREGATE $ 2,000,00 DED I X I RETENTIONS 10 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER YIN N ANY PROPRIETOR/PARTNERIEXECUTNE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, des lbe under DESCRIPTION OF OPERATIONS below N / A 6-200001-15032-178235 0311712015 03/1712016 X WC STATU- RY LIMITS OTH- E.EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 600,00 E.L. DISEASE - POLICY LIMIT S 500,00 D Professional Liab Claims Made Form IEK13152929 $5,000 RETENTION 03/17/2015 ON17/2016 Per Occ 1,000,00 Aggregate 3,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Natna apaea Is required) Certificate holder is named as an additional insured with respect to General Liability. CERTIFICATE HOLDER CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE J. Darrin Grose ZL— at-, C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD