HomeMy WebLinkAbout578635 SOCRATA INC - INSURANCE CERTIFICATESOCRINC-01 KIRAPREST N DATE (MM/DD/YYYY)
ACORO
CERTIFICATE OF LIABILITY INSURANCE 11/01/2017
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 License # CA#0658748 CONTACT
AHT Insurance a/c°,"N , Ext ; (206) 269-0122 ac, No :(206) 269-0179
600 University Street #1200 E-MAIL
Seattle, WA 98101
INSURED
Socrata, Inc.
705 5th Avenue S / #600
Seattle, WA 98104
Travelers Casualty Insurance Company of America 119046
INSURER c , The Charter Oak Fire Insurance Companv 125615 1
RER E :
RER F :
DCVICIn KI Kit 111ARRD-
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
INSID
SUBR
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE I 'F OCCUR
X
�ZLPIISN01616
11/01/2017
11/01/2018
DDAMIAGETo RENTED "cel$
300,000
10,000
ME EXP (Any oneperson)
$
1,000,000
PERSONAL & ADV INJURY
$
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
2,000,000
PPOLICY ❑ jpC7 � LOC
PRODUCTS - COMP/OP AGG
$
(Ea arcNED SINGLE LIMIT
$
$ 1,000,OOQ
OTHER:
A
AUTOMOBILE LIABILITY
BODILY INJURY Per person
$
ANY AUTO
X
BA-OK062853
11/01/2017
11/01/2018
BODILY INJURY Per accident
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
PROPERTY DAMAGE
Per accident
$
X HIRED X NOWRTED
AUTOS ONLY
AUTOS ONLY
B
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
4,000,000
EXCESS LIAB
CLAIMS -MADE
ZUP41M8628A
11/01/2017
11/01/2018
AGGREGATE
$ 4,000,000
DED I X ( RETENTION $ 5,000
C
WORKERS COMPENSATION
PER OTH-
TAT T
E.L. EACH ACCIDENT
1,000,000
$
AND EMPLOYERS' LIABILITY Y / N
UBOK063782 11/01/2017
11/01/2018
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N/A
E.L. DISEASE - EA EMPLOYEE
1,000,000
$
(Mandatory in NH)
E.L. DISEASE - POLICY LIMIT
1,000,000
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
D
E&O with Cyber
V15TVJ171001 11/01/2017
11/01/2018
Each Claim/Aggregate
3,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
RE: Evidence of Insurance.
Certificate holder, it's agents, employees & officers, are included as additional insureds under the General & Auto liability, but only as such policy provisions
allow and as required by written agreement and/or contract.
TE HO
City of Fort Collins
Attn: Purchasing Department
P.O. 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
ACORD 25 (2016/03) U 1yt$d-LUI0 At,UKLI I. Um umm I IVIY. Mll rRU11W IWAwl VC".
The ACORD name and logo are registered marks of ACORD