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HomeMy WebLinkAbout109737 UNITED DAY CARE CENTER DBA TEACHING TREE - INSURANCE CERTIFICATE (2)UNITDAY-01 VMATHIAS FACORN DATE (MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 03/08/2018 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER NAMif., PFS Insurance Group 4848 Thompson Parkway Suite 200 (A/c"No, Et): (970) 635-9400 FAX , No):(970) 635-9401 Johnstown, CO 80534 E-MAIL , valeriem@mypfsinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Citizens Insurance Company of America 31534 INSURED United Day Care Center, Inc. dba Teaching Tree Early INSURER 13: The Hanover Insurance Company 22292 Childhood Learning Center INSURER c : Pinnacol Assurance Co 41190 dba Teaching Tree INSURERD: 424 Pine St, Suite 100 Fort Collins, CO 80524-2421 INSURER E : INSURER F e-n%1F0AQEC C-ERTIFIC-ATE NUMBER: REVISION NUMBER: r 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS ITRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR ZB4A16473904 12/01/2017 12/01/2018 DAMAGEMS( RENTED Ea occurrence 110,000 $ MED EXP An one person)$ 0,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 ]POLICY JE LOC OTHER: A AUTOMOBILE LIABILITY COM e aBINEDccidenSINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO ZB4A16473904 12/01/2017 12/01/2018 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS PerOaccRdent AMAGE $ X AUTOS ONLY X AUOTOS ONLDY B X UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS MADE UH4A164762 12/01/2017 12/01/2018 AGGREGATE $ DED I X I RETENTION$ 0 Products 1,000,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 4172048 04/01/2018 04/01/2019 X PER OTH- T T R E.L. EACH ACCIDENT 1,000,000 $ _ E.L. DISEASE - EA EMPLOYEE OFFICER/MEMBEREXCLUDED? (Mandatory- in NH) N/A 1,000,000 $ E.L. DISEASE -POLICY LIMIT 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Property ZB4A16473904 12/01/2017 12/01/2018 BPP 174,116 A Crime (Includes Burg ZB4A16473903 12/01/2016 1 12/01/2017 Ded. 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. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. 222 LaPorte Avenue Fort Collins, CO 80522 AUTHH/DORIZED REPRESENTATIVE ICY- ' ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD