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Home My WebLink About578186 HR SOLUTIONS & SERVICES LLC - INSURANCE CERTIFICATE (2)A� CERTIFICATE OF LIABILITY INSURANCE DATF 2/18/2D017) THIS CERTIFICATEIS 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 terns 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 endorsemen s . PRODUCER NORTHEAST AGENCIES INC/PHS 210500 P: (866) 467-8730 F: (888) 443-6112 301 WOODS PARK DRIVE CLINTON NY 13323 CONTACT NAME: WC.No.Ext): (866) 467-8730 (a .Nu): (888) 443-6112 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER Hartford Casualty Ins Co INSURED HR SOLUTIONS & SERVICES, LLC PO BOX 64106 COLORADO SPRINGS CO 80962 INSURER B: INSURER C : INSURER D: INSURER E: INSURER I: 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. LYSR 77yE OF INSURANCE ADD P0LICYNU30ER POLICT EFF AOLICYE'%P Lamy COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 , 0 0 0 , 0 0 0 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S 3 O O 0 0 0 X X MED EXP (Any one person) $10, 000 A General Liab 01 SBA RE4382 03/19/2017 03/19/2018 PERSONAL & ADV INJURY $1 , 00 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY __1 ECO- FX LOC GENERAL AGGREGATE s2,000,000 PRODUCTS -COMP/OP AGG s2, 000, 000 OTHER: $ AUTOMOBILE LU►BILRY COMBINED SINGLE LIMIT (Ea accident) $1, 0 0 0, 0 0 0 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 01 SBA RE4382 03/19/2017 03/19/2018 BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY[__AUTOS ONLY PROPERTY DAMAGE (Per accident) $ s UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE DE RETENTION S $ WORKERSCOMPEMWTON ANDEMPLOYEBSLIABIIRY PER OTH- STATUTE I ER ANY PROPRIETORIPARTNER/EXECUTTVEYIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ AyA E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ PP DESCRIPAONOFOPFRATIMS/LOCATIONS/VEHIC*IMRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. The City of Fort Collins its officers, agents, and its employees are Additional Insured per the Business Liability Coverage Form SS 00 08, and the Hired Auto and Non -Owned Auto Endorsement SS 04 38 attached to this Policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED CITY OF FORT COLLINS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATTN : PURCHASING AUTHORIZED REPRESENTATME PO BOX 580�,� FORT COLLINS, CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. I ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD