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.
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