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HomeMy WebLinkAbout495711 PEAR WORKPLACE SOLUTIONS - INSURANCE CERTIFICATEClient#: 34483 PEALLCPC ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 12/01/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Holmes Murphy - CR Core 201 First Street SE, Suite 700 Cedar Rapids, IA 52401 ACT NAME: Koleen Janney PHONE 319-896-7710 FAX /C No): A/C No Ext : A/C, ADDRESS: KJanney@holmesmurphy.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company 20281 INSURED Pear, LLC dba Pear Workplace Solutions 1515 Arapahoe Tower One #100 Denver, CO 80202 INSURER B : Standard Fire Insurance Company 19070 INSURER C INSURER D 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 CONTRACTOR 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. TRR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MM/DDY/YYYY EFF MM/DDT LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X 35909112 8/25/2018 08/25/2019 EACH $1 000000 �OCCURRENCE PREMISES EaoNcurtence $1,000,000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $1,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X X 73558676 8/25/2018 08/25/201 (CEOa.IS ,denIINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PerOaccidentER DAMAGE $ A X UMBRELLA LIAR 1X EXCESS LIAB OCCUR CLAIMS -MADE 79875330 8/25/2018 08/25/201 EACH OCCURRENCE $1 O 00O 000 AGGREGATE $10 00O 000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below N / A ICUB4703T12718 2/17/2019 02/17/202 PER OTH- E.L. EACH ACCIDENT $1,000,000 E L DISEASE - EA EMPLOYEEI 1,000,000 E.L. DISEASE - POLICY I IMIT $1 ,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ** Workers Comp Information ** Proprietors/Partners/Executive Officers/Members Excluded: John Robbins, owern/mgmt It is agreed that City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability, as required by written contract or agreement. City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 ACORD 25 (2016/03) 1 of 1 11QA1R7A7IMA4RRnd ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RGNIC9