HomeMy WebLinkAbout243031 BC SERVICES INC - INSURANCE CERTIFICATE (3)ACOR�� CERTIFICATE OF LIABILITY INSURANCE
DATE (MIWDD!YYYY)
��.
6/26/2018
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 endorsements .
PRODUCER
NAME: AIIISOn H@@ran
TrueNorth Companies, L.C.
275 S Main St Ste 100
PHONE _._____._ Fax
A'c EXt : 303-774-2959 A:c No): 303-776-5495
E-MAIL
aheeren truenorthcom anies.corn
Longmont CO 80501
INSURERS) AFFORDING COVERAGE
NAIC M
INSURER A: West American Insurance Company
44393
INSURED BCSERVI-01
INSURER B : Ohio Security Insurance Company
24082
Bc Services, Inc, Dba Bonded Collection Services,
P O Box 1317
INSURERC: Ohio Casual Insurance Company
24074
INSURER D : Pinnacol Assurance Company
41190
Longmont CO 80502
_
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:68895760 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.
ILTR
LTA
' TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MM/DD/
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
,I CLAIMS -MADE L_J OCCUR
Y
EKW57687740
3124/2018
3/24/2019
EACH OCCURRENCE _
DAMAGE' �RENTED
PREMISES F_a occurrence)
$1,DOO,OOD
$1K000
MED EXP (Any one arson)
_
$ 15,000
PERSONAL 3 ADV INJURY
$1,0o0,000
AGGREGATE LIMITAPPLIES PER:
POLICY PRO LOC
JECT
GENERAL AGGREGATE
$2.000,000
GENIL
Pq
PRODUCTS - COMP;OP AGG
$ 2,000,000
$
OTHER
B
AUTOMOBILE
LIABILITY
BAS57687740
3124,12018
3124/2019
COMBINED SINGLE LIMIT
Ea ant)
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
X
PROPERTYDAMAGE_$
Per accident
NON -OWNED
AUTOS ONLYAUTOS ONLY
HIRED HXJ1
C
X
UMBRELLA LIAB
I X
OCCUR
US057687740
3/24/2018
3124/2019
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
_
$ 5,000,000
EXCESS LIAB
CLAIMS -MADE
DED X 1 RETENTION
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOW'PARTNER/EXECUTIVE
OFFICERiMEMBEREXCLUDED?
N/A
516892
7/1/2018
7/1/2019
X STATUTE EOR�
E.L. EACH ACCIDENT
$100,000
E.L. DISEASE - EA EMPLOYEE
$100,000
(Mandatory In NH)
If Yes, doscribe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLICY LIMIT
$ 500,000
I
I
DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Certificate Holder is Additional Insured as their interest may appear in operations of the Named Insured on their behalf, as required by written contract, with
respect to General Liability
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
PO Box 580 AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
(D1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD