HomeMy WebLinkAboutTELELANGUAGE INC - INSURANCE CERTIFICATE (3)TELEL-1
i 1
CERTIFICATE OF LIABILITY INSURANCE
DATE
03/16/2020
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.endorsemen s .
PRonucER 503-296-0077
Leonard Adams Insurance, Inc.
5201 SW Westgate Dr #300
Portland, OR 97221
NTT J. Damn Gross, ..
PHONE. 503-296-0077 IX No:503-296-00"
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-MAIL . 9
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INSURER AFFORDING' COVERAGE
NAIC #
J. Damn Gross
_
INSURER A: Sentinel Insurance. Company
11000
INSURED
Telela�n���wage Inc
610rtlend OR 97205Suite 200
YY
INSURER B : H Iscox
10200
INSURER C :
INSURER D :
INSURER E :
INSURER F :
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
SU
POLICY NUMBER
POLICY EFF
POLICY EXP
IMMIDDIYYYYI
LIMITS
A
..
COMMERCIAL GENERAL L1ABIUTY
CLAIMS -MADE OCCUR
General Liability
X
52SBAPW5861
03/17/2020
03/17/2021
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
$ 1,Opp,000
X
MED EXP (Any one arson
10,000
PERSONAL B ADV INJURY
1'000,006
EN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ P LOC
.T
GENERAL AGGREGATE
2,000,000
PRODUCTS'- COMP/OP AGG
2,000,000
- ..
A'
..
-- —
AUTOMOBILE LIABILITYLIABILITYCOMBINED
ANVA_ 0-. -,'
- OWNED SCHEDULED
AUTOS ONLY AUpTNµO.ppSyy.,/� E�pp
X� :AUTOS-0_NLY X AUTOS.ONLV
.-
52SBAPW5861
-
..
-
03/1712020
03/17/2021
SINGLEiIM1T-
11000,000
BODILY INJURY Per persoo
-
BODILY INJURV Per accident)
PRBOP-E dTYs AMAGE'.
A
X
UMBRELLA LIAR
EXCESS LIAR
X
OCCUR
ciAIM$-rouDE
-
52SBAPW5861
03/17/2020
03/17/2021
EACH OCCURRENCE
21000,000
AGGREGATE
21000,000
DED I X I RETENTION$ 10,000
WORKERS COMPENSATION
AND EMPLOYERS` UABILnY Y / N
ANY PROPRIETOR/PARTNERIEXECUTiVE ❑
OpFFICERIMEIMBER EXCLUDED?
(hand= n NH)
M s, describe under
D S itlPTl N F P- N to
N A
X
- -
PER. OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
.L. _
B
Prof Liability
Full Prior Ads
MPLI19647419
03/17/2020
03/17/2021
Aggrigate
Ea Claim
3,000,000
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Resna** Schedule, may De attached I mere space is required)
Certificate holder is included as additional insured on the General
Liability, as respects operations of the Named Insured, when required by
written contract.
City of Fort Collins
P.O. 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
J. Damn Cmas
ACORD 25 (2016103) U 1858-ZD15 AwrcU weervwq I IUN. An ngnoz reserves.
The ACORD name and logo are registered marks of ACORD