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HomeMy WebLinkAboutEASTER SEALS COLORADO - INSURANCE CERTIFICATE (3),4illb.oizo® 17 CERTIFICATE OF LIABILITY INSURANCE 1 DATE( M/ D/YYYY) 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 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)- CONTACT PRODUCER NAME: Bethany Haight AssuredPartners Colorado, LLC P"°NE 303-863-7788 Fax 303 861 7502 4582 S Ulster St, Ste 600 - - Denver CO 80237 E-MAIL S: bhaight@assuredptrco.com INSURED Easter Seals Colorado 5755 W. Alameda Ave. Lakewood CO 80226 INSURER A: Philadelphia Indemnity Ins Co EASTE-1 INSURERB:PINNACOL ASSURANCE INSURER C : INSURER E : PrillrDAGC¢ f`CDTICIf`ATC All IIIADCD. 1957Fi.rinR15 DF1lIClflld IUI IM91PO. 18058 41190 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 LTR TYPE OF INSURANCE I SD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X Y PHPK1722310 10/1/2017 10/1/2018 EACH OCCURRENCE $1,000,000 $100,000 PREMISES REMI;E-TO-RENiE� ISES Ea occurrence MED EXP (Any one person) $ PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: RPOLICY ❑ PET 171 LOC OTHER: GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP/OP AGG $3,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO HH ALLOSNED SCYOSULED X HIRED AUTOS X NON -OWNED AUTOS Y PHPK1722310 10/1/2017 10/1/2018 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident $ $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE PHUB603118 10/1/2017 10/1/2018 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 DED X RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? 7 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below "/A 276112 10/1/2017 10/1/2018 X I STATUTE I EERH E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L. DISEASE - POLICY LIMIT $500,000 A A Network Security & Privacy Liab Professional Liability PHSD1247975 PHPK1722310 5130Y2017 6/30/2018 10/1/2017 10/1/2018 Occurrence 1,000,000 Aggregate 1,000,000 Each Incident Limit 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) The City of Fort Collins is included as Additional Insured with regard to General Liability and Auto Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION The City of Fort Collins Purchasing Department PO 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD