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HomeMy WebLinkAbout109737 UNITED DAY CARE CENTER DBA TEACHING TREE - INSURANCE CERTIFICATE (3)ACORO UNITDAY-01 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/04/2017 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 NAME: PFS Insurance Group PHONE - - -r Fax 4848 Thompson Parkway Suite 200 (A/C, No, Ext): (970) 635-9400 (A/C, No):(970) 635-9401 Johnstown, CO 80534 Ao RESS: valeriem@mypfsinsurance.com INSURERISLAFFORDING COVERAGE NAIC # I-- -- - — ---- - __ _FINSURERA Hanover American Ins. Co. 36064 INSURED United Day Care Center, Inc. dba Teaching Tree Early INSURER B : Pinnacol Assurance Co 41190 Childhood Learning Center INSURERc_-______ dba Teaching Tree INSURERD__—_ 424 Pine St, Suite 100 -- --- Fort Collins, CO 80524-2421 INSURER E INSURER F : COVERAGES CERTIFICATE Nt]MBFR• RFVICInnI nII IMMI=D• 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 ADDL SUBR' POLICY EFF POLICY EXP T TYPE OF INSURANCE POLICY NUMBER MM/ /YYYY MM/DD/YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEOCCUR -- ZB4A16473903 12/01/2016 12/01/2017 RSETOENcue100,000PM - - - occurrence) $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY _ 11000,000 :_$ GENT AGGREGATE LIMIT APPLIES PER: G ENERALAGGREGATE $ 2,000,000 POLICY JE � l LOC PRODUCTS -COMP/OP AGG $ 2,000,000 �I OTHER: _ $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)._ _. ---- --_ - _ $_-.-----_..__1,000,000 ANY AUTO ZB4A16473903 12/01/2016 12/01/2017 ,BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED PROPERTY DAMAGE --_— _ AUTOS ONLY AUTOSS ONLY (Per accident) $ I$ A X UMBRELLA LIAB I X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS -MADE UH4A16476203 12/01/2016 12/01/2017 AGGREGATE $ 1,000,000 DED 1 RETENTION $ Products $ 110001000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER 1 OTH- 1STA�� ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 14172048 04/01/2016 04/01/2017 1 E.L. E LEACH ACCIDENT 1 $ 100,000 %F.FICER/MEMBER EXCLUDED? � ( ndatory in NH) N/A - If yes, describe under E.L. DISEASE EA EMPLOYEE $ 100 000 DESCRIPTION OF OPERATIONS below . � E.L. DISEASE -POLICY LIMIT $ 500,000 A Property ZB4A16473903 12/01/2016 12/01/2017 BPP 103,918 A Crime (Includes Burg ZB4A16473903 12/01/2016 112101/2017 Ded. 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written agreement, the certificate holder is included as additional insured for ongoing operations under general liability. City of Fort Collins 215 North Mason Street Fort Collins, CO 80524 CANCELLA 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 H4 ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD