HomeMy WebLinkAboutCM HOLDINGS INC - INSURANCE CERTIFICATEA4 0RDr CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDD/YYYY)
4111/ 4/1/2021
4/M020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTSUPONTHE CERTIFICATE` HOLDER. THIS
CERTIFICATE-, DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND'OR ALTER THE.COVERAGE AFFORDED BY THE POLICIES
BELOW: THIS CERTIFICATE OF INSURANCE DOESNOTCONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
EPES RRENTATIVE 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 a).
PRODUCER Lockton Companies
444 W. 47th Street, Suite 900
Kansas City MO 64112-1906
(816) 960-9000
NA -
P(AIHONE
No, E FAX
Arc No
E-M
DILES:
INSURER S FFORDI-N CONERAGE--
N IC
INSURER A: Sentinel Insurance Company, Ltd.
1.j O0O___ _
INSURED CM Holdings, InC.
1403637 PlDsci, Inc.
Professional Science 360, Inc.
INSURER B: Hartford Casual Insurance Company
29424_
INSURER C: Philadelphia Indemnity Insurance Co.
18058
INSURERD:-_
2950 E. Harmony Rd, Suite 130
INSURER E .
Fort C-011ins, CO 80528
— -- --- -
CAVFRAr:FQ " CFDTICICATC•MIINIQCD• IAZAl14d9 ntancrnu LI Ranee. VwVVVVV
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO-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 .AFFORDIED:.BY THE POLICIES DESCRIBED.HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONOITIONSOF LIMITS SUCH POLICIES. SHOWN MAY HAVE -BEEN REDUCED BY PAID CLAIMS.
INSR
LTRMM/DD
TYPE OF INSURANCE _.-
ADDL'
SUBR
_ - -" pOLICY.NUM13ER
POLICY EFF
POLICY.EXP
MMIDD
LIMITS
B
"-
){
COMMERCIAL GENERAL LIABILITY
_ __
y
N
- - ' - - - - - --
37SBAZN8344
__ �--
4/1/2020
4/1/2021
EACH OCCURRENCE_.__
..1 OOO 000.
CLAIMS -MADE OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
j. OOO OOO__
MED EXP (Any oneperson)
10,000
PERSONAL & ADV INJURY
$. 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY JET ❑ LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
OTHER:.
B
AUTOMOBILE
LUIBILITY
Y
N
37SBAZN8344
4/l/2020
4/1/2021
COMBINED SINGLE LIMIT
Ea accident
$ 1000000
BODILY INJURY per person)
$ XXXX)=
ANY AUTO
AUTOS ONLY AUTOS. .
BODILY INJURY (Per accident
$ XXXXX)�X
AUTOS ONLY X AUTED OS -OWNED
_
X.
PROPERTY DAMAGE
Per accident
$XXXXXXX
$ XXXXXXX
B
UMBRELLA LAB
X
OCCUR
37RHUXR6765
4/1/2020
4/1/2021
EACH OCCURRENCE
$ 9 000 00O
AGGREGATE
$ 9 000 000
EXCESS LIAB
CLAIMS -MADE
DED I X I RETENTION $10,000
--
$ XXXXXXX
. _
_- ., _ _.
A
WORKERS COMPENSATION
AND EMPLOYERS'LLABILITY Y/_N
N
37WBCAF9K79
4/l/2020
4/l/2021
PER - OTH,
X.STATUTE _ __ ER
E.L. EACH ACCIDENT
$ 1 OOO OOO
OFFICER/MEMBER EXCLUDEDi'ECUTNE
NIA
E.L. DISEASE -. EA EMPLOYEE.
1,000,000
(Mandatory in NH)
DESCRIPTION OF OPERATIONS Leloe -
E.L. DISEASE - POLICY LIMIT
1 OOO 000
C
Professional Giab
N
N
PHSD1534173
4/l/2020
4/1/N2-1
Each Claim $5,000,000
Claims Made
Aggragate $5,000,000
C
Emp Practices Liab
PHSD1534162
4/l/2020
4/1/2021
Each Claim$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City, its officers, agents and employees shall be named as additional insured on Prosci's general comprehensive and automobile liability insurance.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
16360842 AUTHORIZED REPRESENTATIVE
City of Fort Collins
its officers, agents and employees
PO Box 580
Fort Collins CO 80522
? 07 f
RD 25 (20161031 91.. 5-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD