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HomeMy WebLinkAbout233452 THE FAMILY CENTER LA FAMILIA - INSURANCE CERTIFICATE (3)FAMI-03 OP ID: SM ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 07/07/2015Y) o7ro7r2o15 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 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(s). PRODUCER Cherry Creek Ins. Agency, Inc. Suite 500 5660 Greenwood Plaza Blvd. Greenwood Village, CO 80111 CONTACT PHONE Stephanie Malla FAX �A/C No EM : 303-799-0110 A/C No): 303-799-0156 E-MAIL ss: StephanieM thinkcci .com Cherry Creek Insurance Group INSURERS AFFORDING COVERAGE NAIC# INSURER A:FIrstC.omp INSURED The Family Center La Familia INSURER B: Munich American Alternative Carla Dolan 309 Hickory #5 INSURERC: Fort Collins, CO 80524 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 REDUCED BY PAID CLAIMS. -INSR TYPE OF INSURANCE ADDL U R POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY) (MMIDDfYYYYI LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE XAMAGE I OCCUR X 2TA5CP0000365 06/02/2015 06/02/2016 TO REED PREMISES EaNT occurrence)$ 100,00 X MED EXP (Any one person) $ 5,00 Abuse/Molestation PERSONAL & ADV INJURY $ 1,000,00 GEN'L GENERAL AGGREGATE $ 3,000,00 AGGREGATE LIMIT APPLIES PER: POLICY PRO- ❑ JECT LOC PRODUCTS - COMP/OPAGG $ 3,000,00 Abuse $ 1,000,00 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 B ANY AUTO 2TA5CP0000365 06/02/2015 06/02/2016 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE peraccident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DIED ! RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A MWC0067459-01 08/01/2014 08/01/2015 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 B Property Section 2TA5CP0000365 06/02/2015 06/02/2016 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Per written contract or written agreement, the Certificate holder is listed as Additional Insured under the General Liability where there interests may appear with respects to operations of the Named Insured. GtK I It-II:A I t HULUtK CANCELLATION City of Fort Collins 300 Laporte Ave Fort Collins, CO 80521-2719 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 �{(� � © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD