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HomeMy WebLinkAbout102622 POUDRE SCHOOL DISTRICT - INSURANCE CERTIFICATE (2)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/26/2018 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 have ADDITIONAL INSURED provisions or 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 Central, Inc. Minneapolis MN office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Ext): (A/C. No.): E-MAIL ADDRESS: 5600 West 83rd Street 8200 Tower, Suite 1100 INSURER(S) AFFORDING COVERAGE NAIC # Minneapolis MN 55437 USA INSURED INSURER A: Continental Casualty Company 20443 Zlpcar Inc. Avis Budget Group, Inc: Avis Budet Avis Rent A Car System, LLC, et Car Rental, LLC, its subsidiaries includingINSURER INSURER B: American Casualty Co. of Reading PA 20427 c: Transportation Insurance Co. 20494 Budget Rent A Car System, Inc Budget Truck Rental, LLC. 6 Sylvan way INSURER D: INSURERE: Parsippany NJ 070S4 USA INSURER F: UUVERAGE5 CERTIFICATE NUMBER: b1UU1194b793 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 ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL EACH OCCURRENCE $2,000,000 CLAIMS -MADE X❑OCCUR D MAGET REN ED PREMISES Ea occurrence $1,000,000 X MED EXP (Any one person) Excluded Garage Liability PERSONAL &ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $25,000,000 X POLICY ❑ JECT PRO- PRODUCTS - COMP/OP AGG $2,000,000 OTHERElLOC : A AUTOMOBILE LIABILITY BUA 7001700830 07/01/2018 07/01/2019 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIREDAUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident UMBRELLA LIAB EACH OCCURRENCE EXCESS LIAB HOCCUR CLAIMS -MADE AGGREGATE DED RETENTION B BEMPLOYERS' C WORKERS COMPENSATION AND LIABILITY YIN ANY PROPRIETOR/PARTNERI EXECUTIVE OFFICER/MEMBEREXCLUDED9 Y NIA wc4014106301 WC4014106346 wC4014106265 07/01/2018 07/01/2018 07/01/2018 07/01/2019 07/Ol/2019XSTATUTE 07/01/2019 PER H- EoR E.L. EACH ACCIDENT $1,000,000 EL DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS bal.. E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is additional insured to the General Liability policy with respect to their interest in written contract agreement with zipcar, Inc. RE: Revocable permit for car share parking on city property, location at 300 Laporte Avenue, Fort Collins, Colorado. 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 P.O. Box 580 Fort Collins CO 80522-0580 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD