The URL can be used to link to this page

Home My WebLink AboutHR SOLUTIONS & SERVICES LLC - INSURANCE CERTIFICATE (3)ACORL> CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/12/2016 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 NORTHEAST AGENCIES INC/PHS 210500 P: (866) 467-8730 F: (888) 443-6112 301 WOODS PARK DRIVE CLINTON NY 13323 CONTACT NAME. PHONE C,N (,V.Ext): (866) 467-8730 c ,No) (888) 443-6112 A RIESS INSURER(S) AFFORDING COVERAGE NAIC# INSURERA Hartford Casualty Ins Co INSURED HR SOLUTIONS & SERVICES, LLC PO BOX 64106 COLORADO SPRINGS CO 80962 I NSURER B : INSURER C : INSURERD INSURER E INSURER F: rBT.lTI:1 rffTN =L41147'4 112IMn111IICi: 11IA 1:17: it a7 D7 VJ C■ C161UL•J 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. LVSR TYPE OFLVSGRANCE ADD SLBR POLICYNUMBF.R POLL (MMID�EFF POLIC�"F.IiP LIMITS" COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000, 000 CLAIMS -MADE � OCCUR DAMAGE TO PREMISESS ( (Ea occurrence) 5 3 O O, 0 0 0 A X General L1ab X 01 SBA RE4382 03/19/2016 03/19/2017 MEDEXP(Any one person) s10,000 PERSONAL 8 ADV INJURY $1, 0 0 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � PRO � LOC JECT GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG s2, 000, 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1 , O O 0 , O O 0 BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED X HIRED AUTOSr AUTOS 01 SBA RE4382 03/19/2016 03/19/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ S UMBRELLA LI OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE S DE RETENTION $ WORKERS COMPENSATION AND FMPLOTERS•LIABILITT PER OTH- STATUTE ER E.L. EACH ACCIDENT ANY PROPRIETORlPARTNER/EXECUTIVEY/N OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) WA E.L. DISEASE- EA EMPLOYEE $ If yes, describe under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS / VEH"KN)RD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. The City of Fort Collins its officers, agents, and its employees are Additional Insured per the Business Liability Coverage Form SS 00 08, and the Hired Auto and Non -Owned Auto Endorsement SS 04 38 attached to this Policy. CERTIFICATE HOLDER CANCELLAiIUN CITY OF FORT COLLINS ATTN: PURCHASING PO BOX 580 FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE RATION. All rights resery ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD