HomeMy WebLinkAbout233452 THE FAMILY CENTER LA FAMILIA - INSURANCE CERTIFICATE (2)FAMICEN-01
LAURAMC
DATE(MM/DDI(VYV)
815/2019
,4coRo CERTIFICATE OF LIABILITY INSURANCE
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 endorsements .
PRODUCER
(CONTACT
NAMIE-
CCIG
CCIG Greenwood Plaza Blvd.
FA
ac°°,"N, Eat : 303 799.0110 (Ajxc No : 303) 799-0156
E-MAIL . InfO thinkcci .com
Suite 500
Greenwood Village, CO 80111
INSURERS) AFFORDING COVERAGE
NAIC 0
INSURER A: American Family Home Ins. Co.
23450
INSURED
INSURER B : Markel Insurance Co
38970
The Family Center La Familia
Carla Dolan
INSURER C
INSURER D
309 Hickory #5
INSURER E
Fort Collins, CO 80524
INSURER F :
COVERAGFS CPRTIFICATP MI IIu1RCG- vcnerns, L11 v.
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,
ILTRNSR
TYPE OF INSURANCE
ADOL
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCNL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE OCCUR
X
2TA5CP0000365
8/1/2019
8/1/2020
DAMAGE TO RENTED
100,000
Abuse & Molestation
X
MED EXP (Any one rson
5,000
X
1MOcc12MAgg
PERSONAL & ADV INJURY
1,000,000
GEN'L
X
AGGREGATE LIMIT APPLIES PER:
[�] 7
GENERAL AGGREGATE
3,000,000
PRODUCTS - COMP/OP AGG
3,000,000
POLICY jpC7 LOC
OTHER:
A$
LIABILITY
COMBINED SINGLE LIMIT
1,000,GOG
ANY AUTO
2TASCP0000365
8/1/2019
8/1/2020
BODILY INJURY Per person)
POMOSILE
AUTEO�S
ONLY AUTNOpSyUyLEDp
BODILY INJURY Per accident
Parr aaaJent AMAGE
AUTOS ONLY X AUTOS ONLY
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
AGGREGATE
EXCESS LIAB
CLAIMS -MADE
DED 1 1 RETENTION $
$
B
COMPENSATION
ND
X PER OTH-
AS
EMPLO ERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
MWC0067459
8/1/2019
8/1/2020
E.L. EACH ACCIDENT
1,000,000
%FOFFICER/MF,MgE� EXCLUDED7 ❑
.1 r m NH
NIA
E.L. DISEASE - EA EMPLOYE
1,000,000
$
Ifdescribe under
E.L. DISEASE -POLICY LIMB
1,000,000
ins
DESCRIPTION OF OPERATIONS below
A
Professional Liabili
2TA2PL0001010
8N/2019
8/1/2020
I
Occurrence
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required)
309 Hickory St. Unit 3 Fort Collins, CO 80524
Per written contract or written agreement, the Certificate holder is listed as Additional Insured under the General Liability where there interests may appear
with respects to operations of the Named Insured.
City of Fort Collins
300 Laporte Ave
Fort Collins, CO 80521-2719
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
MI Umu LO tLUle/U3) 9)1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD