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HomeMy WebLinkAboutARCHDIOCESE OF DENVER - INSURANCE CERTIFICATE (5)CERTIFICATE OF LIABILITY INSURANCE DATE IMM+DDlYYYY) 7/7/2019 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()es) 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 fights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 6300 South Syracuse Way, Suite 700 Centennial CO 80111 INSURED Archdiocese of Denver 1300 South Steele Street Denver, CO 80210-2599 E: COVERAGES CERTIFICATE NUMBER:19"917017 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. LTR TYPE OF INSURANCE POUCYNUMBER D/YYY MMIDDlYYY Lam COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ $ CLAIMS MADE OCCUR PREMISES IEa occurrence $ - _MED EXP (Any one person) $ PERSONAL S ADV INJURY It GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY I PRO- `JECT —LOC I .PRODUCTS - COMP/OP AGG $ $ OTHER AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT Ea accident) $ $ ANY AUTO I BODILY INJURY (Per person) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Par accident) $ HIRED NON OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE _(Per accident $ UMBRELLA LIAR �OCCUR EACH OCCURRENCE $ $ EXCESS LUIS ,CLAIMS -MADE _AGGREGATE DEC . RETENTION $ $ A WORKERS COMPENSATION EWS017335905 AND EMPLOYERS' LIABILITY Y) N ANYPROPRETOR,PARTNEFL''EXECUTIVE OFFICER MEMBEREXCLUDED? a NIA 7112019 711/2020 'X S ATUTE I ER" E.L. EACH ACCIDENT $1,000,000 $1.000,000 (Mandatory in NH) E.L. DISEASE EA EMPLOYEE It yyes. descnbe under 0 SCRIPTION OF OPERATIONS Debw E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) Excess Workers Compensation Self Insured Retention of $250,000 RE: CCS North to perform U51ity Assistance Program administration for the City of Fort Collins, Colorado from January 01. 2010 to December 31. 2010. l Izn 1 Ir-iI m I C nvV umn City of Fort CollinsC/O Director of Purchasing and Risk Management P O Box 580 Fort Collins CO 80522 USA 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 C�rfi <�c __� © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 2 1192