HomeMy WebLinkAboutEASTER SEALS COLORADO - INSURANCE CERTIFICATE.�CORF� CERTIFICATE OF LIABILITY INSURANCE
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DATE(MMlDDIYYYY)
9/3012019
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 le an ADDITIONAL INSURED, the pollcy(les) must 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 endorsemen s :-
PRODUCEH
AssuredPartnerS Colorado, LLC
4582 S Ulster St, Ste 600
Denver CO 80237
NAME: Bethany Haight
PHONE A
_ •303-863-7788 _ FAXc No:,303-86177502
A DRlless: bhei h assured trco:Com
INSURER B AFFORDING COVERAGE
. NAIC C
INSURER A:.Philedel hia Indemnity.Company
18058
INSURED EASTE-1
Easter Seals Colorado
5755 W. Alarneda
INSURER .B :. Plnna6ol Assurance
41.190
INSURERC:
INSURERD:
Lakewood CO 80226
INSURER E :
INSURER F :.
CAVERAGES CERTIFICATE NUMBERr3RA3s109R 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 REOUIREMITI ENT, 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 15 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS, SHOWN MAY HAVE BEEN REDUCED,BY PAID CLAIMS.
LTR
TYPE OF INSURANCE
D
WVD
POLICY NUMBER
POLICY EFP
tlalll /YYYY
POLICY EXP .
MMID0IYY
.. -
.LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS•MADE OCCUR
Y
PHPK1687716
10/112019
10/12020
EACH OCCURRENCE
$.1,000,000
PREMISES (Eeccoarence)$100.000
MED EXP (Any.onePerson)
$,
PERSONAL &ADV INJURY
$1,000,000
GEN'L AGGREGATE UM IT APPLIES PER:
POLICY ❑JEO 7 LOC
OTHER:
GENERAL AGGREGATE
$3,000.000
PRODUCTS -COMP/OP.AGG
$3000000
$
A
AUTOMOBILE LIABILITY
%( ANY AUTO
ALL OWNED, SCHEDULED
AUTOS AUTOS
X X NON -OWNED
HIRED AUTOS
Y
PWK1867716
ldhad18
10H2O19.,
COMBINEDSINGLE LIMIT
ride tl
$Y 0
BODILY INJURY (Per person).
$
BODILY INJURY (Per acadent)
$
PROPERTYDAMAGE
$.
$
A
_
X
UMBRELLA LIAR'
EXCESS UAB
X
OCCUR
CLAIMS -MADE
PHUB649240
101112019
10/12020
,EACH OCCURRENCE
$2.000.000:
_
I AGGREGATE
$2,000,000
.....
IMED I x...RETENT10N$. -...__. ....
$
'g
WORKERS COMPENSATION '
AND EMPLOYE. LIABILITY YIN
ANY PROPRIETORlPARTNERlEIlECUTIVE
OFFICERIMEMBER EXCLUDED?
(Myyaaendatory'In NH)
If
DESCescribemder
RIP ION OFOPERATIONS below
N / A
216112
10/12019
10112020
IPEROT "
R.
STATUTE I ER.
E.L. EACH ACCIDENT
$1.00,000
E.L. DISEASE EA EMPLOYE
$.100;000 -
E.L. DISEASE •POLICY LIMIT
$500.000
q.
A
Network Security &
Pnvacy. Llat,
Professional Liability
PHSD7451321
PHPK1887716
TWOW1`9
9
5/30/2020
10d2020
Occurrence 1000,000
Aggregate 1.000.000
Each'Incldenti.Imi1 1,000.000
DESCRIPTION OF OPERATIONS! LOCATIONS ! VEHICLES. (ACORD 101, Additional Remarks Schedule, may be attached I more a"** Is requited) -
The City of Fort Collins is included as Additional Insured with regard to General Liability, and Auto Liability as required by written contract:
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of Fort Collins
ACCORDANCE WITH THE POLICYPROVISIONS.
Purchasing Department
AUTHORIZED REPRESENTATIVE
PO Box 580
Fort Collins CO B0522
® 1988-2014 ACORO CORPORATION. All rights reSarved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
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