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HomeMy WebLinkAbout579299 HOSPITAL COURIERS DENVER LLC - INSURANCE CERTIFICATE (2)ACORO' CERTIFICATE OF LIABILITY INSURANCE 9/23/2018 DATE(MMIDDrYYY) 1 9/22/2017 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 TCT NAME: PH N FAX A/C No Ext : AIC, No): E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # INSURER A: The Phoenix Insurance Com anv 25623 INSURED HOSPITAL COURIERS DENVER, LLC INSURER B : Travelers Indemnity Co of CT 25682 1421697 4520 FLORENCE STREET DENVER, CO 80238 INSURER C : Navi ators Insurance Com anv 42307 D : AGCS Marine Insurance Company 22837 -INSURER INSURER E : Liberty Insurance Underwriters Inc 19917 INSURER F : Travelers Property Casualty Co of America 25674 COVERAGES CERTIFICATE NUMBER: 14390981 REVISION NUMBER: XXXXXXX 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 ADDL INSD SUBR %WD POLICY NUMBER POLICY EFF MMIDDn'YYY POLICY EXP MMlDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 660- 3G984100-PHX-17 9/23/2017 9/23/2018 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 CLAIMS -MADE Fx_1 OCCUR MED EXP (Any oneperson)10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ]{ POLICYā¯‘ SECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y N 840-3G984100-TCT-17 9/23/2017 9/23/2018 EO MBIINEDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ YYYY M X PROPERTY DAMAGE Per accident $ XXXXXXX HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY $XXXXXXX C X UMBRELLA LIAB X OCCUR N N CHI7UMR854635IV 9/23/2017 9/23/2018 EACH OCCURRENCE $ 10 000,000 I AGGREGATE $ 10.000 000 EXCESS LIAB 1CLAIMS-MADE DED I X I RETENTION $ 10,000 PROD/COMP. OPS $ 10,000,000 F WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEPJFXECUTIVE FN_1 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A N UB-5J740165-TIL-17 9/23/2017 9/23/2018 X STATUTE ER E.L. EACH ACCIDENT $ 1,000 000 E.L. DISEASE - EA EMPLOYEE 1,000,000 If yes, describe uncler DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 D MOTOR TRUCK CARGO N N MZI93078913 9/23/2017 10/1/2018 LIMIT: $350,000 E CRIME/EMPLOYEE FI3CABJG79001 10/1/2017 10/1/2018 LIMIT: $3,000,000 THEFT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) COVERAGE REFERENCED ABOVE IS EFFECTIVE 12/1/2016 UNTIL THE EXPIRATION DATE OF THE CERTIFICATE. THE CITY OF FORT COLLINS, CO, ITS OFFICERS, AGENTS, AND EMPLOYEES ARE LISTED AS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS REQUIRED BY WRITTEN CONTRACT SUBJECT TO POLICY TERMS AND CONDITIONS. I.CK 1 II-K.A I C r1VLUCR 14390981 CITY OF FORT COLLINS, COLORADO ATTN: DIRECTOR OF PURCHASING AND RISK MANAGEMENT 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 Arr)Pn 7S r7nlFrn,4i t71 8-2015 ACORD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD