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HomeMy WebLinkAboutADVANCED PROFESSIONAL ENTERPRISES LLC - INSURANCE CERTIFICATE (2)ADVAN-5 OP ID: JPK MM1DACORO CERTIFICATE OF LIABILITY INSURANCE DATE (2112 Y017 `---� 0211 /27 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). PRODUCER CONTACT NAME: John Klaassen Lightship Insurance PHONE FAX 1650 Franklin Street LC. No, E,I: 303-292-9995 A!C No ; 303-292-9996 Denver, CO 80218 ADDRIESs: JP@Lightshipinsurance.com John Klaassen INSURER(SI AFFORDING COVERAGE NAIC M INSURER A: Zurich INSURED Advanced Professional INSURERS: Pinnacol Assurance 41190 Enterprises LLC and Advanced Professional Security INSURER C: Progressive 24260 Co, LLC INSURERD: 3356 Dayton St. Denver, CO 80238 INSURER E : INSURER F : r'r)VFRAr;FS r_FRTIFIrATF NI IMRFR• RFVIGInN NIIMRFR- 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 ADDL INSD SUBR I WVD POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP IMM/DDIYYYYI LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X I OCCUR Errors&Omissions X EOL1027519-00 EOL1027519-00 07/21/2016 07/21/2016 07/21/2017 07/21/2017 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence) $ 100,000 X MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑PRO- PJECT LOC ❑ � OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,00 E&O $ 1,000,00 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED X HIREDAUTOS X AUTOS 066669397 11/18/2016 11/18/2017 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ _ $ A X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE 320096UMB 07/21/2016 07/21/2017 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,000 DED „ RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 03/01/2016 03/01/2018 OTH- X STATUTE STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 A 'EmployeeDishonesty EOL1027519-00 07/21/2016 07/21/2017 -Crime 100,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins,its officers,agents and employees are included as additional insured for General and Auto Liability coverage. 30 day notice of cancellation/10 day for non payment will be provided. CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Financial Services Purchasing Division AUTHORIZED REPRESENTATIVE 215 N. Mason St. 2nd Floor ��- ,Ft. Collins CO 80522 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD