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HomeMy WebLinkAbout578186 HR SOLUTIONS & SERVICES LLC - INSURANCE CERTIFICATEA CERTIFICATE OF LIABILITY INSURANCE �2'/26/2x'l018) THIS CERTIFICATEIS 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 NORTHEAST AGENCIES INC/PHS 210500 P: (866) 467-8730 F: (888) 443-6112 301 WOODS PARK DRIVE CLINTON NY 13323 CONTACT NAM HON (A//C.No.at): (866) 467-8730 (C...): (888) 443-6112 ADDRIESS: INSURER(S) AFFORDING COVERAGE NAICN wsURERA: Hartford Casualty Ins Co INSURED HR SOLUTIONS&SERVICES, LLC PO BOX 64106 COLORADO SPRINGS CO 80962 INSURER B INSURER C INSURER D: INSURER E: INSURER COVERAGES CERTIFICATE NUMBER: 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. INSX 7YP£OFINSU%ANCE ADD S PULICYNUhfBEX POLICYBFF MMID�,YY19 POLICYF.XP IlA4I7S COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 , 000, 000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $000 / X X MED EXP (Any one person) $10, 000 A General Liab 01 SBA RE4382 03/19/2016 03/19/2019 PERSONAL S ADV INJURY $ 1 , 0 0 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JE O- F] LOC GENERAL AGGREGATE s2,000, 000 PRODUCTS - COMP/OP AGG s2, 000, 000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $1 000, 000 r BODILY INJURY (Per person) ANY AUTO A OWNED SCHEDULEDy AUTOS ONLY AUTOS SJ E4_ 03/19/2018 03/19/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LWB CLAIMS -MADE AGGREGATE D RETENTION S WORKERS COMPENSA770A' .M'DEMMOYk:B.S'LIAND.I7Y PER OTH- STATUTE ER E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVEYIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ NA E.L. DISEASE- EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIP77ON OF OPERATIONS /LOCATIONS I VEHiCII D 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insureds Operations. The City of Fort Collins its officers, agents, and its employees are Additional Insured per the Business Liability Coverage Form SS 00 08, and the Hired Auto and Non -Owned Auto Endorsement SS 04 38 attached to this Policy_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED CITY OF FORT COLLINS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN• PURCHASING PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS, CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD