HomeMy WebLinkAbout564101 NET TRANSCRIPTS - INSURANCE CERTIFICATE (4)AC oRo® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY)
12/20/2016
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 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 Amanda West
NAME:
Capital West InsurBnCe PHONN Ex : (480)838-8000 No:(480)838-8002
8501 N Scottsdale Rd E-MAIL ADDRESS: amanda8capitalwestins.com
Ste 200 INSURERS AFFORDING COVERAGE NAIC A
Scottsdale AZ 85253 INSURERA:Sentinel Insurance Company LTD 11000
INSURED INSURER B:Beaz layInsurance COmpany 37540
Net Transcripts, Inc. INSURER C :
3707 N 7th St Ste 320 INSURERD:
Phoenix AZ 85014 I INSURERF:
rnvFRAr.FC CFRTIFICATF NIIMRFR-CL16122009385 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE !NSURED 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
SUBR
POLICY NUMBER
MO pY
PMIDDOLICY EXP
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
A
CLAIMS -MADE X❑ OCCUR
DAMAGE To RETED
PREMISES Ea occurrence)
$ 1,000,000
MED EXP (Any one person)
$ 10,000
X
59SBARV8661
10/17/2016
10/17/2017
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4,000,000
POLICY ❑ PRO JECT ❑ LOC
X
PRODUCTS - COMP/OPAGG
$ 4,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 2,000,000
BODILY INJURY (Per person)
$
A
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
X HIRED AUTOS X AUTOS
X
59SBARV8661
10/17/2016
10/17/2017
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
P
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? F7y
(Mandatory in NH)
N I A
59WECZT8611
1/5/2017
1/5/2018
OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ 11000,000
E.L. DISEASE - EA EMPLOYE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
_ _
-
B
Prof Liab/Cyber-Claims Made
.W
V16E64150301 10/17/2016
_
10/17/2017
Each Occurrence 2,000,000
Retro Date: 3/3/07
1 General Aggregate 4,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I 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.
GtKIIt-IGAIt HULUtK l.A1Y l.CLLAI1V fY
City of Fort Collins
ATTN: Purchasing Dept.
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
West/AW
U 1988-2014 ACORD CORPORATION. All rlgnts reservea.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025 (201401)