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HomeMy WebLinkAbout557431 MEETING THE CHALLENGE INC - INSURANCE CERTIFICATE (4)MEETTHE-01 KINAM1 A�O�RD CERTIFICATE OF LIABILITY INSURANCE DATE 09/21/2017Y) 09/21 /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: Six & Geving Insurance, Inc. PHONE FAX 3630 Sinton Rd. (AfC, No, Ext): (719) 590.9990 fiat, Nol:(719) 590-9992 Suite 200 E-M RLS Colorado Springs, CO 80907 INSURED I INSURER B : Pinnacol Assurance Meeting the Challenge Inc. INSURER C:Philadelphia Indemnity Ins CO 3630 Sinton Road #103 INSURERD: Colorado Springs, CO 80907-- 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X BKS55623620 09/30/2017 09130/2018 EACH OCCURRENCE 1,000,000 300,000 $ DAMAGE TO RENTED PREMISES (Ea occurrence MED EXP (Any oneperson) 15,000 PERSONAL & ADV INJURY 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY n jpa LOC GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG �_ 2,000,000 OTHER: A AUTOMOBILE LIABILITY ANY AUTO X BKS55623620 09/30/2017 09/30/2018 'COMBINED SINGLE LIMIT (Ea acctientl BODILY INJURY Perperson) 1,000,000 $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY AMAGE (Per accident I $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE US055623620 09/30/2017 09/30/2018 DED I X I RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANY PROPRIETOR/PARTNER/EXECUTIVE N FFICFRl9AEMBEMBER EXCLUDED? Mandatory m NH) -- If yes, describe under, DESCRIPTION OF OPERATIONS below N A i 2324392 10l01 /2017 10101 /2018 PER OTH- X -SIA _ 500,000 $ 500,000 _$ _ _ 500,000 E.L. EACH ACCIDENT E.L.DISEASE EMPLOYEE E.L. DISEASE - POLICY LIMIT A Property Section BKS55623620 09/30/2017 09/30/2018 ,Contents 108,242 C Professional PHSD1273512 10/0112017 10/01/2018 IE&O Liaiblity 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins is named as Additional Insured on the General Liability and Auto Liability polies as their interest may appear with respect to the operations performed by the insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Purchasing Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 P ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE � , %�-vf 7 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD