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HomeMy WebLinkAbout564101 NET TRANSCRIPTS - INSURANCE CERTIFICATE (3)A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/Y) 10/13/2017 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 CONTACT Julie Harmsen NAME: Capital West Insurance PHONE (480)838-8000 FAX (480)838-8002 A/C No Ext : AIC, No 8501 N Scottsdale Rd E-MAIL ADDRESS: )@pulie ca italwestins.com Ste 200 INSURER(S) AFFORDING COVERAGE NAIC # Scottsdale AZ 85253 INSURERA : Sentinel Insurance Company LTD 11000 INSURED INSURER B : Hartford Accident and Indemnity 22357 Net Transcripts, Inc. INSURER c : Beazley Insurance Company 37540 3707 N 7th St Ste 320 INSURER D : INSURER E : Phoenix AZ 85014 INSURER F : COVERAGES CERTIFICATE NUMBER: CL17101312558 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 AUUL15UbH INSD WVD POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000.000 CLAIMS -MADE � OCCUR A N PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 A Y 59SBARV8661 10/17/2017 10/17/2018 GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 4,000,000 X POLICY JEa LOC PRODUCTS - COMP/OPAGG $ 4,000,000 s OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y 59SBARV8661 10/17/2017 10/17/2018 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED HNON-OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE s HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE R/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A VV 59ECZT8611 01/05/2017 01/05/2018 PER OTH- X STATUTE I I ER E.L EACH ACCIDENT 1,000,000 $ E. L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Prof Liab/Cyber-Claims Made Retro Date: 3/3/2007 V16E64150401 10/17/2017 10/17/2018 Each Occurrence General Aggregate 2,000,000 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is listed as additional insured with respects to general liability and auto liability per written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ATTN. Purchasing Dept. ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 !!�� 11 C�' CU � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD