HomeMy WebLinkAboutEASTER SEALS COLORADO - INSURANCE CERTIFICATE (2)AcC>Ro® CERTIFICATE OF LIABILITY INSURANCE
Iā
E(MM/DDIYYYY)
76/1/2020
THIS.:CERTIACATE 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 1NSURER( S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE
HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL,
INSURED; the policy(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 Ileu of such endorsemen s . _.
PRODUCER
AssuredPartners Colorado, LLC
4582 S Ulster St, Ste 600
Denver CO 80237
.
CONTACT
NAME: Lora David
PHONE 720.726.3226. __ _. _ ac No ā¢ 303-861.7502
E Mac - .. .
DDREs6: lora.david assured co.com
INSURERS AFFORDING COVERAGE.
NAIL 0.
. INSURERA: .Phlladel hia Indemnity Company
i8058
INSURED EASTE-1
Easter Seals Colorado
INSURERS: Pinnacol Assurance
41190
5755 W. Alameda
INSURERC :
INSURER°:.
Lakewood CO 80226
ANSURER.E:
i
.INSURER F:-_ -
_ I
COVERAGES CERTIFICATE NUMBER:'254362133 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;REDUCEDBY PAID CLAIMS.
INSR
LTp
TYPE OF INSURANCE
AD LSUBR
INN
WVO
-
I'POLICY NUMBER
POLICY.EFF'.
MMIODIYYYY
POLICY.IXP
MM/ODIYYYY
-
LIMITS
A
:!:[COMMERCIALL GENERAL LIABILITY
Y
PHPK7687716
10l1l2019
10A14.2t).
EACH OCCURRENCE
$.1.000.000
CLAIMS -MADE Fx_1 OCCUR
PREMISES -.No FIT nice)
$100.000
MED.EXP (Any one person)
$ -
PERSONAL& ADV INJURY
$11,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE.
$3.000.000
POLICY ElJECT F1 LOC
PRODUCTS - COMPIOP AGO
$3.000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
Y
PHPK2043238
10/12019
101IQ620
COMBINED SINGLE LIMIT
(Ea accident)
$ 000,000
X
BODILY INJURY Per person)
$
ANY AUTO
ALL
J OWNED SCHEDULED
AUTOS
BODILY INJURY (Oar accident)
-$
X
PROPERTY DAMAGE
$
X. NON -OWNED
HIRED AUTOS AUTOS
$
A.
X
UMBRELLA UAB- X
OCCUR
PHUB649240
10/1/2019
10/12020
I FACHOCCURRENCE
$2,000A00
AGGREGATE
$2,000.000
EXCESS UAB
CLAIMS -MADE
..
DED.. I X I.RETENTION $.in non,... . .
$ _
-..
_
i ... .
. .. .-
-
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y IN
ANY PROPRIETOR/PARTNERIEXECU IVE
276112 I
'I
10/12119
10/112020
1 STATUTE ER
E.L. EACH ACCIDENT
$.100',000
OFFICER/MEMBER EXCLUDED? ā
NIA
(Mandatory In NH).
E.L. DISEASE -. EA EMPLOYE
$100,000
II yes, describe under,
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
S 50D,000
A
A
Network Security&
Privacy Llab
1PHSD1546336
PHPK1887716
5/302020
:10/1/2019
5/30/2021
10/12020
Occurrence 1,000,000
Appreyate 1,000.000
Professional Liability
Each Incident Limit 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedul% may be attached If more apace Is required)
SEXUAL OR PHYSICAL ABUSE OR MOLESTATION VICARIOUS LIABILITY COVERAGE: $2;000,000
Aggregate Limit: $2.000,000
The City of Fort Collins is included as Additional Insured with regard to GeneralLiability and Auto Liability as required by written contract.
SHOULD ANY OF THEC ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
I
THE EXPIRATION _DATE THEREOF; NOTICE WILL BE DELIVERED IN
The City Of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
Purchasing Department - - - -
PO BOX-580 ..AUTHORIZ.ED REPRESENTATIVE
Fort Collins CO 80522 ni
01988.2014 AC(
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
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