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HomeMy WebLinkAbout109737 UNITED DAY CARE CENTER DBA TEACHING TREE - INSURANCE CERTIFICATE___1 UNITDAY-01 VMATHIASON ACORD CERTIFICATE OF LIABILITY INSURANCE FDAT3/2/2 D/YYYY) 3/2/2016 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 CONTACT NAME: PFS Insurance Group PHONE 970 635-9400 FAX 970 635-9401 4848 Thompson Parkway Suite 200 A/c No Ext: ( ) — (A/C, No): ( ) Johnstown, CO 80534 E-MAIL AnnRFSS. valeriem0mv0sinsurance.com INSURED United Day Care Center, Inc. dba Teaching Tree Early Childhood Learning Center dba Teaching Tree 424 Pine St, Suite 100 Fort Collins, CO 80524-2421 INSURER(S) AFFORDING COVERAGE I NAIC # INSURER A: Hanover American Ins. Co. 136064 INSURER B : Pinnacoi Assurance Co 141190 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CFRTIFICATF N(1MRFR- IZF=VIC1nN Ni IMRFR• 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. I�TR TYPE OF INSURANCE POLICY EFF POLICY EXP INSD WVD POLICY NUMBER MM/DD/YYYY MM DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rx] OCCUR ZB4A16473902 12/01/2015 12/01/2016 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT 7 LOC FIOTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY SINGLE LIMIT Ee accident) $ 1,000,00 BODILY INJURY (Per person) $ A ANY AUTO ZB4A16473902 12/01 /2015 12/01/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ _ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ A EXCESS LIAB CLAIMS -MADE UH4A16476202 12/01/2015 12/01/2016 DIED I I RETENTION $ Aggregate $ 1,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 4172048 04/01/2016 04/01/2017 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 A Property _ ZB4A16473902 12 O112015 12/01/2016 BPP 97,957 A Crime (Includes Burg ZB4A16473902 12/01/2015 12/01/2016 Died. 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written agreement, the certificate holder is included as additional insured for ongoing operations under general liability. CERTIFICATE HOLDER CANCELLATION City of Fort Collins 215 North Mason Street Fort Collins, CO 80524 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 jREEPRESENTATIVE q H 1 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD UNITDAY-01 VMATHIASON ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 11130/2015Y) 11 /30/2015 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 CONTACT _ NAME: PFS Insurance Group PHONe — FAX 4848 Thompson Parkway Suite 200 (A/C, No, Exit): (970) 635-9400 (AtC, No): 1970) 635-9401 Johnstown, CO 80534 ADDRESS: valeriem@mypfsinsurance.com INSURED United Day Care Center, Inc. dba Teaching Tree Early Childhood Learning Center dba Teaching Tree 424 Pine St, Suite 100 Fort Collins, CO 80524-2421 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hanover American Ins. Co. 36064 INSURER B : Plnnacol Assurance Co 41190 INSURER C : INSURER D : INSURER E : INSURER F : COVFRAGFS CFRTIFICATF NIJMSFR! 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 ryPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDNYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X ZB4A16473902 12/01/2015 12/01/2016 TO 100,00 CLAIMS -MADE OCCUR PREM_DAWAISES (RENTED PREMIEa occurrencel_ _ $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEST _ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 ---------- --- ------ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO ZB4A16473902 12/01/2015 12/01/2016 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ X X NON -OWNED HIRED AUTOS AUTOS (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE A EXCESS LIAB CLAIMS -MADE UH4A16476202 12/01/2015 12/01/2016 $ DED... RETENTION_ $ Aggregate $ 11000,00 $ WORKERS COMPENSATION X STATUTE ERH IS YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N /A 4172048 04/01/2015 04/01/2016 _E.L. EACH ACCIDENT - - - — — — $ 100,00 -- -- -- — (Mandatory inNH) E_.L_. DISEASE - EA EMPLOYE $ 100,00 If yes, describe under DESCRIPTION OF OPERATIONS below ---�- E.L. DISEASE - POLICY LIMrr1 S 500,000 A Property ZB4A16473902 12/01/2015 12/01/2016 BPP 97,957 A Crime (Includes Burg ZB4A16473902 12/01/2015 12/01/2016 Ded. 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written agreement, the certificate holder is included as additional insured for ongoing operations under general liability. CFRTIFICATF 1401 r)FR CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City f Fort Collins y o THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD