HomeMy WebLinkAbout557431 MEETING THE CHALLENGE INC - INSURANCE CERTIFICATE (2)MEETTHE-01 KINAM1
ACORO CERTIFICATE OF LIABILITY INSURANCE DATE)MMMDIYYYY)
141� 1 9/6/2019
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 rights to the certificate holder in lieu of such endorsements .
PRODUCER
Six &Geeing Insurance, Inc.
3630 Sinton Road #200
Colorado Springs, CO 80907
CONTnCT Amy Kingery
HONro,E 1; (719) 867 4529 ac,No:(719 590-9992
LMD*ss, akingery@six-geving.com
INSURERS AFFORDING COVERAGE
NAIC IS
INSURER A: Ohio Security Insurance Comp
INSURED
Meeting the Challenge Inc.
3630 Sinton Road #103
Colorado Springs, CO 80907
INSURERS: Pinnacol Assurance
41190
INSURER C : Philadelphia Indemnity Ins Co
18058
INSURER D :
INSURER E
INSURER F :
wrnr, on Arr uuuere. DFVICInM lMI IMIRFR-
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.
INSR
TYPE OF INSURANCE
ADDL
SUER
POLICYNUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
11000,000
CLAIMS -MADE ❑X OCCUR
X
BKS55623620
9/30/2019
9/30/2020
DAMAGE TO RENTED
3001000
MED EXP (Any one rson
15,000
PERSONAL &ADV INJURY
1,000,000
GEML AGGREGATE LIMIT APPLIES PER:
POLICY � ipRa LOC
GENERAL AGGREGATE
2r000,O00
PRODUCTS-COMP/OPAGG
2,000,006
OTHER:
A
AUTOMOBILE LIABILITYCOMBINED
SINGLE LIMIT
1 r000,000
BODILY INJURY Per rson
AUTO
X
BKS55623620
9/3012019
9/30/2020
BODILY INJURY Per accident
OWNED SCHEDULED
IxANY
AUTOS ONLY AUTOS
HIRED X NON WNED
AUTOS ONLY AUTO ONLY
PROPERTY AMAGE
Per e=Ident
A
X
UMBRELLA UAB
LUI
EXCESSB
X
OCCUR
CLAIMS -MADE
US055623620
9/3012019
9/30/2020
EACH OCCURRENCE
1,000,000
AGGREGATE
1,000,000
LIED I X I RETENTION $ 10,000
B
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
(Mandatory in N EXCLUDED? �
II yes, describe under
DESCRIPTION OF OPERATIONS below
Property
IT 1 A
2324392
BKS55623620
10/1/2019
9/30/2019
10/112020
9/30/2020
X I SPTEARTUTE OTH-
ER
E.L. EACH ACCIDENT
500,000
E.L. DISEASE - EA EMPLOYE
500,000
E.L. DISEASE - POLICY LIMIT
Contents
500,000
112,614
C
Professional
PHSD1472987
10/1/2019
10/1/2020
E&O Liaiblity
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES {ACORD 101. Additional Remarks Schedule, may be attached M more space Is required
�
The City of Fort Collins is named as Additional Insured on the General Liability and Auto Liability polies as their in Brest may appear with respect to the
operations performed by the insured.
City of Fort Collins Purchasing Department
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
V-ve�
ACORD 25 (2016/03) w IV00-CO I MVwmL/ VV" ""r '— — 1.10 ..............
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