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Home My WebLink About495711 PEAR WORKPLACE SOLUTIONS - INSURANCE CERTIFICATE (5)Client#: 34483 PEALLCPC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 8/24/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Holmes Murphy -Colorado CONTACT NAME: A/CO,"No,Ext: 515 223-6800 FAX AIC, No 7600 East Orchard Rd, Ste 330 South E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Greenwood Village, CO 80111 INSURER A: Federal Insurance Company 20281 INSURED Pear, LLC dba Pear Workplace Solutions 1515 Arapahoe Tower One #100 Denver, CO 80202 INSURER B : standard Fire Insurance Company 19070 INSURER C INSURER D INSURER E INSURER F : 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 CONTRACTOR 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 ADDLSUBR INSR WVO POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MWDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X 35909112 8/25/2018 08/25/201 EACH OCCURRENCE $1,000,000 PREMISES (EaE.urrence $1,000,000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY 7 JECT 7 LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $1,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSHIRED NON -OWNED AUTOS ONLY X AUTOS ONLY IX X X 73558676 8/25/2018 08/25/201 EO eocl I.S nIINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 79875330 8/25/2018 08/25/2019 EACH OCCURRENCE $1 O 000 000 AGGREGATE $1 O 000 000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A ICIJB4703T12718 2/17/2018 02/17/201 ER PT T ORH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is requlred) ** Workers Comp Information ** Proprietors/Partners/Executive Officers/Members Excluded: John Robbins, owern/mgmt It is agreed that City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability, as required by written contract or agreement. TE City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE (01ast$-ZU7D AL:UKL) L UKYUKAI IUM All rignib rCSC/veu. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S382516/M382463 JANK1