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HomeMy WebLinkAboutINSPERITY INC - INSURANCE CERTIFICATE (5)CERTIFICATE OF LIABILITY INSURANCE GATE(DD/YYYY) Acctrt: 227s<s7 10/0101 /201 s 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). PRODUCER CONTACT Lockton Companies, LLC PHONE FAX 3657 Briarpark Dr., Suite 700 EMAINo.L . 888.82&8365 A� No): Houston, TX 77042 ADDRESS: Insurance Co. of North America 1 43575 INSURED Insperity, Inc. INSURER B 19001 Crescent Springs Drive INSURERC: INSUfl£fl O: Kingwood, TX 77339 'SEE BELOW INSURER E 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 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 AODQ WVr)' POLICY NUMBER. LTRIN MM/D�WYYYFY MM UC VYP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ - CLAIMS -MADE '� OCCUR AMA E TO RE D P EMISES(Ea=urrence)$ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ LGEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT F7 LOC PRODUCTS - COMP/OP AGG S $ OTHER: AUTOMOBILE LIABILITY _ COMBINED SIN LE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ P r acEcideTY DAMAGE $ HRTDSAUTOS _ AUTOS NON -OWNED UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DED I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N A OFFICER/MEMBER EXCLUDED' ❑ (Mandatory in NH) N'!A X C66698257 10/01/2019 10/01/2020 X PER OTH- TATUTE ER E.L. EACH ACCIDENT $ 1.000.000 E.L. DISEASE • EA EMPLOYEE $ 1,000.000 E.L. DISEASE - POLICY LIMIT $ 1 0� 000 If yes, deecnbe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required) ARISANT, LLC (3779700) IS INCLUDED AS A NAMED INSURED THROUGH ENDORSEMENT. WAIVER OF SUBROGATION IN FAVOR OF City of Fort Collins WHEN REQUIRED BY WRITTEN CONTRACT. ALL STATES EXCEPT OH, ND, WY AND WA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS AUTHORIZED REPRESENTATIVE PURCHASING DIVISION 215 N MASON ST 2ND FLOOR PO BOX 580 s/ FORT COLLINS. CO 80822 ©1988-2014 ACORD CORPORATION. All rights I ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD