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Home My WebLink AboutBCN ADVANTAGES INC - INSURANCE CERTIFICATEBCNADM1 ® ACORO CERTIFICATE OF LIABILITY INSURANCE ll`.� " DATE (MM/DD/YYYY) 2/28/2019 r - . 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). Commercial Lines - (248) 353-5800 USI Insurance Services LLC 4000 Town Center, Suite 800 Southfield, MI 48075 CONTPRODUCER NAME: USI Insurance Services National, Inc. PHONE 248.353.5800 FAXNo : 610.537.2371 A/C No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURE RA: Amerisure Insurance Company 19488 INSURED BCN Advantages, Inc. 3650 W. Liberty Ann Arbor, MI 48103 INSURER B: Amerisure Mutual Insurance CO. 23396 INSURER C : INSURERD: INSURER E : INSURER F : r C0rI0If'ArC KlIueQco. 1R9F()g49 RFVISInN NLJMRFR' See below vTHIS 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 ADDLTYPE OF INSURANCE 1NSD WVDUBR POLICY NUMBER MMIDD/YYYY MM/DD/YYYY UP LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE ( RENTED PREMISESS Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT S OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) S OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident Is $ A X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE CU2067648 03/01/2019 03/01/2020 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE X WC 2085634 12/01/2018 12/1/2019 H X STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE -EA EMPLOYEE i $ 500,000 OFFICER/MEMBER EXCLUDED? :] (Mandatory in NH) NIA E.L. DISEASE -POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Alternate Employer Endorsement in favor of Cre8Play, Inc. Waiver of Subrogation when required by written contract and where permitted by law; applies in favor of the certificate holder, regarding the insured's workers' compensation policy CERTIFICATE HULULK {IMIVICLL/i I IV14 City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACUKu U 79ZS23-LU7b Ala 1KU LVKYVKAI IV ry. /ill rlyll L, lvbt:l VCU. ACORD "„°""" II11III1111IN11IIMIII111IN111II111111111WIIMIIIRINIMIIIIAIIIII ..__.....,.-