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Home My WebLink AboutPARKEON INC - INSURANCE CERTIFICATE (7)-� CERTIFICATE OF LIABILITY INSURANCE ACO/20 DATE(MM/D015 12/23/2015 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 AOn Risk services Northeast, Inc. New York NY Office CONTACT NAME: A/C. No Ext): (866) 283-7122 FAX No.): (800) 363-0105 E-MAIL ADDRESS: 199 Water Street New York NY 10038-3551 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: The Travelers Indemnity Co of CT 25682 Parkeon, Inc. INSURER B: ACE American Insurance Company 22667 40 Twosome Dr. Unit 7 Moorestown N3 08057 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570060622954 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER MMfDDlYYYY MMIDD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY OGLG 4 1 1 1 EACH OCCURRENCE $1, OOO, OOO CLAIMS OCCUR Fx�PREMISES DAMAGERENTED $1,000,000 -MADE Ea occurrence MED EXP (Any one person) $10 , 000 PERSONAL B ADV INJURY 11,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 11,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OPAGG $1,000,000 OTHER: A AUTOMOBILE LIABILITY BA-1F74188A 11/17/2015 11/17/2016 COMBINED SINGLE LIMIT Ea accident $1, 000, 000 BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOSNON-OWNED Ix PROPERTY DAMAGE HIRED AUTOSAUTOS Per accidentColl $1000 X Comp $1000 B XOOG24997194 01/01/2016 01/01/2017 EACH OCCURRENCE $6, 000, 000 X UMBRELLA LIAB X OCCUR AGGREGATE $6,000,000 EXCESS LAB CLAIMS -MADE DED I X RETENTION $10,000 A WORKERS COMPENSATION AND HEUB11`74188A 11/17/2015 11/17/2016 XSTATUTE ORH EMPLOYERS' LIABILITY Y❑ E.L. EACH ACCIDENT $1 , 000 , 000 ANV PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDE1 N (Mandatory in NH) N ! A E.L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under UESCKIP (ION OF OPERATIONS oelow E.L. nlgcgSE-POL!OY ! !MI7 41 nn0 , Onn DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE 215 N Mason St. Fort Collins Co 80524 USA ��f/'� ��((�� c./Gt2'. d c/l� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD