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HomeMy WebLinkAboutTELELANGUAGE INC - INSURANCE CERTIFICATE (4)�--� TELEL-1 OP ID- KM FDATE(MMlDD/YYYY) 03/29/2018 ACORN CERTIFICATE OF LIABILITY INSURANCE 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 endorsements . PRODUCER 503-296-0077 Leonard Adams Insurance, Inc. 5201 SW Westgate Dr, Suite 300 Portland, OR 97221 CONTACT J. Darrin Gross NAMEO PHONE 503-296-0077 F 503-296-0044 (A/C, No, Ext): Arc, No E-MAIL darring@lacoinsurance.com ADDRESS J. Darrin Gross INSURERIS) AFFORDING COVERAGE NAIC # INSURER A: Sentinel Insurance Company 11000 INSURED Telelanguage Inc INSURER 8 : HISCOX 514 SW 6th Ave, 4th FI Portland, OR 97204 INSURER C : INSURER D : INSURER E INSURER F : Cr1VFRAr,ER CFRTIFICATF NtiMRFR- 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 LTRA TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X ' OCCUR X 52SBAPW5861 DX 03/17/2018 03/17/2019 DAMAGE TO RENTED 1,000,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT PRO LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 Emp Ben. 1,000,000 OTHER A AUTOMOBILE LIABILITY COMBINED dentSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO 52SBAPW5861 DX 03/17/2018 03/17/2019 BODILY INJURY Per accident _ $ OWNED SCHEDULED AUTOS ONLY AUTOS PROPER DAMAGE $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE 52SBAPW5861 DX 03/17/2018 03/17/2019 AGGREGATE 2,000,000 r—tDED I X I RETENTION $ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y 1 N ,ANY PROPRIETOR/PARTNER/EXECUTIVE I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N 1 A E.L. ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ ErLr DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below B PROF LIABILITY MPL119547417 03/17/2018 03/17/2019 PER OCC 1,000,000 I � AGGREGATE 3,000,000 DESCRIPTION OF OPERATIONS r LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as additional insured on the General Liability, as respects operations of the Named Insured, when required by written contract. CITYOFF City of Fort Collins P.O. 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 J. Darrin Gross %' ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD