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HomeMy WebLinkAbout186415 TURNING POINT CENTER FOR YOUTH & FAMILY DEV - INSURANCE CERTIFICATECERTI OF LIABILITY INSURANCE DATE (MMIDO/YYYY) CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CC REPRESENTATIVEOR PRODUCER, AND THE CERTIFICATE r AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THU EXTEND OR ALTER THE COVERAGE' AFFORDED BY THE POLICIES E'A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT:. It the certificate holder Is an ADDITIONAL I1113IURE0, the pOUCy(IeS) must. have ADDITIONAL IN3UtiED provisions Or he endorsed. If SUBROGATION IS WAIVED, subject to the terms and condklons 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). Flood and Peterson PO Box 578 Greeley COS 80632 INSURER A: Philadelphia Indemnity Insurance 18058 INSURED _ - INSURERS: PinrlaCDIASSurdh e. Turning Point Center For Youth & INSURERC: Lloyds of London Family Development, Inc. INSURERD: 3030 S. College Ste. 200 INSURER E : Fort Collins CO 80525 rusudco c 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWNIMAY BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MMID M LIMITS COMMERCIAL GENERAL LOASIR. ITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE ® OCCUR PREMISES Ea occurrence S 1,000,000 MED EXP (Any me person) S 20.000 PERSONAL &ADV INJURY $ 1,000,000 A Y PHPFC?057725 11/01/2019 10/01/2020 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECTT 7 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG $ 2,000,0.00 Liquor Liability $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COM tlNaED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Par wram) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS PHPFC2057725 11/61/2019 10/0112020 BODILY INJURY (Per accidere) S PROPERTY DAMAGE Per accident _ HIRED - NON -OWNED AUTOS ONLY AUTOS ONLY Uninsured motorist Bl- $ 1,000,000 UMBRELA I" OCCUR EACH OCCURRENCE y 3,000,000 AGGREGATE y 3,000,000 A EXCESSUAB CLAIMS -MADE PHUB699505 11/012019 10/01/2020 DIED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERMIEMBER EXCLUDED? 7 (Mandatory in NH)E.L.. NIA 4044187 10/01/2019 10/01_/2020 PER STATUTE OTH- ER E.L. EACH ACCIDENT S 1,000,000 DISEASE - EA EMPLOYEE $ 1,000,000 I ves, describe under DESCRIPTION OF OPERATIONS balm E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability PHPK201 25 11/012019 10/01/2020 Each Incident Aggregate 1,000,000 3,000,000 bascammok OF OPERATIONS I LOCATIONS I VEHICLES IACONO 101, AdOitimal Remarks Schedule, may be attached It mors space Is repuiredl RE: Comhole Festival -Awesome Toss'Em, August 29, 2019 The City of Fort Collins, its officers, agents, employees and volunteers are named as additional insured as it relates to the Awesome Toss'Em Comhole Festival held on August29, 2018 for General Liability. Liquor Liability $1,000,OOO Limit CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS: Risk Management AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins C 80522-0580 ' 01888-201 S ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # I C Description Cyber Liability- Policy #EVO-PNY-472-248 Coverage Code CYBER Form No. Edition Date Limit 1 1,000,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No TEdition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Rat # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage CodTworem; m No. Edition Data Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Typeium Ref # Description Coverage Code Forth No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Data Limit 1 Limit 2 Limit 3 Deductible Amount Deductible type Premium Ref# Description Coverage Code Form No. Edition bate Limit 1 LIMA 2 Limit 3 Deductible Amount Deductible Type Premium Ref Y Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Data Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible, Amount Deductible Type Premium OFADTLCV Copyright 2061, ANTS Services, Inc.