Loading...
HomeMy WebLinkAboutGOODWILL INDUSTRIES OF DENVER - INSURANCE CERTIFICATE (5)A`COR�® CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) oli,3„20182o,6 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 have ADDITIONAL INSURED provisions or 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 MARSH USA INC. 122517TH STREET, SUITE 1300 CONTACT NAME` PHONE FAX A/C No. _ A/C go): E-MAIL ADDRESS: DENVER, CO 80202-5534 AUn: DENVER.CERTREQUEST@MARSH.COM FAX: (212) 948.4381 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insurance Company 18058 CN 10 1410245-STND-GAWU-1 8-19 INSURED GOODWILL INDUSTRIES OF DENVER INSURER B : Plnnacol Assurance 41190 - 6850 NORTH FEDERAL BOULEVARD INSURER C : INSURER D DENVER, CO 80221 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-003351184-19 REVISION NUMBER: 8 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 LTR OF INSURANCE ADDLTYPE INSD WVDSUBRI POLICY NUMBER MMIDDIYYPOLICY Y MM /DDPOLICY YYY LIMITS A X COMMERCIAL GENERAL LIABILITY X PHPK1873458 09/0112018 09/01/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY ❑PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 3,000,000 $ OTHER: A AUTOMOBILE LIABILITY X PHPK1873458 09/01/2018 09/01/2019 COEaMBINED ccident SINGLE LIMIT a $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE_ $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/ N EXCLUDED? (Mandatory in NH) N / A 4133992 /01/2019 X PER OTH- STATUTE ER E L. EACH ACCIDENT $ 1,000,000OFFICER/MEMBER ---- E.L. DISEASE -EA EMPLOYEE ---- $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: CONTRACT TERM. 9-1-15 THROUGH 8-31-16 CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS TO AUTO LIABILITY AND GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT FOR GOODWILL'S NEGLIGENCE ONLY. CFRTIFICATF Hnl nFR CANCELLATION CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FORT COLLINS, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Nathan Mulhauser © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD