HomeMy WebLinkAbout109737 TEACHING TREE EARLY CHILDHOOD LEARNING CENT - INSURANCE CERTIFICATE--� UNIT DAY-01 BADAMS
ACORO YY)
/DD/YY E (MM
�� CERTIFICATE OF LIABILITY INSURANCE 1DATE(MM/ D/YY
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).
CONTACT
PRODUCER NAME:
PFS Insurance Group
5201 S Yosemite Street (A/CONI o, EXt)_(303) 997-4605 (n c, Not:(970) 997-9910
Greenwood Village, CO 80111 E-MAIL ESS: info@mypfsinsurance.com
INSURERS AFFORDING COVERAGE NAIC #
INSURER A . Citizens Insurance COmDanv of America 131534
INSURED United Day Care Center, Inc. dba Teaching Tree Early INSURER 9:The Hanover Insu
Childhood Learning Center INSURERC:Plnnacol Assuran
dba Teaching Tree INSURER D :
424 Pine St, Suite 100
Fort Collins, CO 80524-2421 INSURER E
INSURER F
rnvronr cc rCDTICIrATF w IMRGD• RFVISI0K1 NI IMRFR-
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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LT,M/DDfY
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE X] OCCUR
ZB4A16473904
12/1/2018
12/1/2019
1,000,000
$
$ 10,000
DAMAGE TO RENTED
PREMISES (Ea occurrence
MED EXP (Any one rson)
PERSONAL & ADV INJURY
$ 1,000,000
AGGREGATE LIMIT APPLIES PER:
GENT
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
X
POLICY E] jE�T LOC
$
OTHER:
A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
accident
1,000,000
$
BODILY INJURY Perperson)
$
ANY AUTO
ZB4A16473904
12/1/2018
12/1/2019
BODILY INJURY Per accident
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
ROPEl-ZDAMAGE
$
X HIRED X NON -OWNED
AUTOS ONLY _iAUTOS ONLY
B
X
UMBRELLA LIAR
X OCCUR
EACH OCCURRENCE
$ 1,000,000
EXCESSLIAAB
1 CLAIMS -MADE
UH4A164762
12/1/2018
12/1/2019
AGGREGATE
$ 1,000,000
DED X RETENTION $ 0
Products
$ 1,000,000
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
4172048
4/1/2018
4/1/2018
X PER OTH-
TAT TE ER
_. 1,000,000
$
E.L. EACH ACCIDENT
(MWFICER/MEMBER EXCLUDED? ❑
andatory in NH)
N / A
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
If yes, describe under
DESCRIPTION OF OPERATIONS below
1,000,000
A
Property
ZB4A16473904 12/1/2018
12/1/2019
BPP
181,080
A
Crime (Includes Burg
I
7
ZB4A16473904 12/1/2018
12/1/2019
Ded.
1,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
If required by written agreement, the certificate holder is included as additional insured for ongoing operations under general liability.
P•C�TIC IArc LAM r%= rAA1rF1 I ATIrIAI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
Y
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
222 LaPorte Avenue
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
,L�
ACORD 25 (2016/03) U 1988-2015 AGUKU GUKPUKA I IUN. Ali rlgnts reservea.
The ACORD name and logo are registered marks of ACORD