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HomeMy WebLinkAbout133608 ANLANCE PROTECTION LTD - INSURANCE CERTIFICATE (22)ANLAPRO-01 JM00 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) Illl.� 12/28/2016 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 endorsement(s). PRODUCER CONTACT Johna Moors NAME: HUB International Insurance Services (COL) PHONE Ext): (303) 252-3760 (A X, No 4065 St. Cloud Dr, suite 201 E-MAIL Loveland, CO 80538 ADDRESS: johna.moors@hubinternational.com INSURED Anlance Protection Ltd I INSURER c: PO BOX 2401 INSURER D Ft Collins, CO 80522 INSURER E 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. INSR LTRIN TYPE OF INSURANCE ADDL SD SUBR' I WV POLICY NUMBER POLICY EFF ID POLICY EXP MID LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE f X] OCCUR X PHPK1433197 01/01/2017 01/01/2018 EACH OCCURRENCE $ 1,000,000 DDAMtAAGEToRSESaENTTED occurrenre)$ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY j LOC OTHER GENERAL AGGREGATE $ 4,000,000 PRODUCTS-COMPIOPAGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON ST Y AUTOS ONLY AUTOS ONLY 1 r PHPK1433197 01/01/2017 01/01/2018 CEO acBlciNentSINGLE LIMIT $ 1,000,000 BODILY INJURY Per person)$ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE PHUB524889 01/01/2017 01/01/2018 EACH OCCURRENCE $ 5,000,UU0 AGGREGATE $ 5,000,000 DIED I X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYErZ5'LIAeILtTY Y / H ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatoryin NH) If es, describe under DESCRIPTION OF OPERATIONS below N / A 4064145 01/01/2017 01/01/2018 X PTAT T ETH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is named as an Additional Insured with respect to the ongoing operations of the Named Insured on the General Liability only. City of Fort Collins Finance & Purchasing Department Attn: Christine Jarvis 215 N. Mason St., Second Floor PO Box 580 Fort Collins, CO 80522-0580 L,AN 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 yz_'� ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD