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HomeMy WebLinkAbout462625 PEAK LEADERSHIP CONSULTING - INSURANCE CERTIFICATE (4)C I ie nt#: 1108829 PEAKLEA ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 112/07/2016 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 USI Insurance Services LLC 312 Elm Street, 24th Floor CONTACT Barb Smith NAME: PHONE 513 852-6300 Fa No : 513 852-6428 A/C, No, Ext ADDRESS: barb.smith@usi.com Cincinnati, OH 45202 513 852-6300 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American Casualty Company of Re 20427 INSURED Peak Leadership Consulting 4548 Seaway Circle Fort Collins, CO 80525 INSURER B : Hartford Accident & Indemnity C 22357 INSURER C : INSURER D — INSURER E INSURER F : 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 LTR TYPE OF INSURANCE ADDLSUBIR INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) _ MM/DD/YYYY LIMITS A X. COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR B4030752651 B4030752651 6110/2016 06/10/201 EACH OCCURRENCE $1,000,000 _ PREMISES TO RENTED s300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 L AGGREGATE LIMIT APPLIES PER: PRO -PRODUCTS POLICY JECT I LOC r'OTHER: GENERAL AGGREGATE $2,000,000 - COMP/OP AGG $ 2 OOO OOO ++ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS _ AUTOS X HIRED AUTOS X NON -OWNED AUTOS 6/10/2016 06/10/2017 a cld."tSINGLE LIMIT Ea MBID $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE�Y / N OFFICERIMEMBEREXCLUDED? I N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 45WECVY2321 6/01/2016 06/01/201 PrAT OTH- E.L. EACH ACCIDENT $1 OO 000 E.L. DISEASE - EA EMPLOYEE $1 OO 000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is Additional Insured. Reference form SB300120C 0611. City of Fort Collins 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 #S19395601/Ml8432894 The ACORD name and logo are registered marks of ACORD AZVZP