HomeMy WebLinkAbout557431 MEETING THE CHALLENGE INC - INSURANCE CERTIFICATEM EETTH E-01
KINAM 1
ACORO CERTIFICATE OF LIABILITY INSURANCE
DATE Y 08
9/17/018
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
CONTACT Amy Kingery
Six & Geving Insurance, Inc.
3630 Sinton Road #200
Colorado Springs, CO 80907
PHONE FAX
A/c, No, Ext : (719) 867-4529 A/c, No :(719) 590-9992
E-MAIL , akingery@six-geving.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Ohio Security Insurance Comp
INSURED
INSURER B : Plnnacol Assurance
41190
INSURER C : Philadelphia Indemnity Ins Co
18058
Meeting the Challenge Inc.
INSURER D :
3630 Sinton Road #103
Colorado Springs, CO 80907
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.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM DD
POLICY EXP
MM D YY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �X OCCUR
X
BKS55623620
09/30/2018
09/30/2019
EACH OCCURRENCE
1,000,000
DAMAGE TSESO RENTEDPREM
300,000
MED EXP (Any oneperson)
15,000
PERSONAL & ADV INJURY
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY FX� jECT LOC
GENERAL AGGREGATE
2,000,000
PRODUCTS -COMP/OP AGG
2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
1,000,000
BODILY INJURY Perperson)
ANY AUTO
X
BKS55623620
09/30/2018
09/30/2019
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY Per accident
X
PROPERTY DAMAGE
Per accident
HIRED FXNON-OWNED
AUTOS ONLY AUTOS ONLY
A
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
1,000,000
AGGREGATE
1,000,000
EXCESS LIAB
CLAIMS -MADE
US055623620
09/30/2018
09/30/2019
DED I X RETENTION $ 10,000
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N
(Mandatory in NH)
N / A
2324392
10/01/2018
10/01/2019
X PERTATUTE OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
500,000
$
$ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
500,000
A
Property
BKS55623620
09/30/2018
09/30/2019
Contents
110,406
C
Professional
PHSD1381892
10/01/2018
10/01/2019
E&O Liaiblity
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
The City of Fort Collins is named as Additional Insured on the General Liability and Auto Liability polies as their in may appear with respect to the
operations performed by the insured.
City of Fort Collins Purchasing Department
PO BOX 580
Fort Collins, CO 80522
9ARSllP1C1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
V,Z / '
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