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Home My WebLink About495711 PEAR WORKPLACE SOLUTIONS - INSURANCE CERTIFICATE (3)ena.,rle- neenv acel 1 cac ACORD. CERTIFICATE OF LIABILITY INSURANCE TE D8/26/2/DD/YYYY) /26I2015 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 Holmes Murphy -Colorado 7600 East Orchard Rd, Ste 330 South CONTACT William F. Bardos NAME: (PA ON o Ea , 515 223-6800 A/c, Ne : ADDRESS: WBardos@holmesmurphy.com Greenwood Village, CO 80111 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Federal Insurance Company 120281 INSURED Pear, LLC 1515 Arapahoe Tower One #100 Denver, CO 80202 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: CnVFRAn FS 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYV LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Dd OCCUR 3590-91-12 8/25/2015 08/25/2016 EACH $1,000,000 ��OCCURRENCE PFEMISES Ea occurence $1,000,000 MED EXP (Any one person) $10 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY N jE O 1-1 LOC PRODUCTS - COMP/OP AGG $1,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 7355-86-76 8/25/2015 08/25/2016 EOaeBB,IINEDiSINGLELIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A )( UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE I 7987-53.30 8/25/2015 08/25/201 EACH OCCURRENCE $$ 000 000 AGGREGATE $5 000,000 DED I I RETENTION $ I$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ N / A I WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) It is agreed that City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability, as required by written contract or agreement. City of Fort Collins PO 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 ACORD 25 (2010/05) 1 of 1 #S153172/M153143 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BARW1