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HomeMy WebLinkAboutACCRUENT LLC - INSURANCE CERTIFICATE (2)DATE {MMfDDl1fYYYy 'oRo� CERTIF�CATE OF LIABILITY INSURANCE �� 7HIS CERTIFIGATE IS ISSUED AS A MATTER OF INFORMATIpN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAiE HOL{3ER. THI5 CERTIFICA7E DO�S N01' AFFIRMAiIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGf AFFORUED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CQNS717UTE A CONI'RACT BETWEEN THE 15SUING #NSURER(5), AUTHORIZED REPRE5ENTATIVE OR PROdUCER, AND THE CERTIFkCATE MOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INStiRED, the policy(iesj must ha�e ADDiTIONAL fNSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condikions of the policy, certain policies may require an endorsement. A statement on this certificate doas not confer rights to the certificat� holder in Ileu of such andorsement(s�. PRODUCER Md�Slt USA, InC 1301 51h Avenue Seattle, WA 98101 AKn: Fartive.certreq�est(�marsh com CN i 17677534 FORT 1-GA W U E-24 INSURED Accruent, LLC 115U0 Allerra Aarkway Suite 110 Aus6n,TX 78758 INSURER A : ACE AFFORDING COVERAGE 22fi61 WA WA WA COVERAGES CERTIFICATE NUMBER: SEA-003622663-06 REVI310N PtUMBER: 4 THIS 15 TO CERTIFY THAT THE PO�ICIES OF INSURANCE LIS7Ea B�LOW HAVE BEEN ISSUED TO TH£ INSURED NAMED ABOVE FOR THE POI.IGY PERIO� INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDlTIpN pF ANY CONTRACT dR OTHER dOCUMENT 1MTH RESF'ECT 70 WHICH THIS C�R7'I�ICATE MAY BE I5SUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICtES DESCRIBED HEREIiV IS SUBJECT TQ ALI. THE FERMS, EXCI.USIONS AND CONDITIONS OF SUCH POI.ICIES I.IMITS SHOWN MAY HAVE EEEN REDUCED BY PAID CLAIMS INSR TYPEOF INSURANCE A�DL UBR ppLICY NUMBER MM �DlY1fYY MM! QIYYYY LiMlTS LTR A X COMMERClAL GENERAL LIA81LI7Y HDOG2763025A 07IO1I2O20 OTIb112021 EACH OCCURRENCE E 2,000,000 GLAIMS-MADE � OCCUR PREMISES Ea occurrence S 2,006,000 X Contradual Liability MED EXP (My ona parson s 10,000 X BrOad Form PD PERSONAL 8 ADV IkJURY S 2•����� GEN'4 AGGREGATE LIMIT APPkIES PER� GENERAL AGGREGATE S S,OOO,OOO x POLICY � PR� � LOC PRODUCTS COMP7pP AGG 3 5��4�4� JECT OTHER. S +4 AUTOMOBILE LIABiLITY ISAH08872508 0710112U20 071(11�ZU21 �OMBINED SINGLE LIMIT s S,OQ�,000 Ee aocadenl X ANY AUTO BODII.Y INJURY (Per purson� S ONMEO SCHEOULE� BODILY INJURY (Per acddenq $ AUTOS ONLY AUTOS HIRED NON OWN@D PROPERTY DAMAGE s AUTOS 6NLY AUTOS ONLY Per aociAent S IIMBRELLA LIAB OCCUR EACH OCCUI3RENCE $ EXCES$ LIA8 ��,pIMS-MAp� AGGREGATE S �E� RETEN7IQN S S A WORKfRSCQMPENSATION WLRC48135377(AOS) 7 1 X PER OTH- AND EMPLOYERS' LIABIlITY STATUTE ER q Y 1 M 5CFC48135390 (1M, AZ} U710112Q20 07I4112021 2,ppp,ppp ANYPROPRIETORlPARTNERIEXECUSIVE E L EACH ACCIOENT S OFFICERJMEMBEREACLU�ED? � N!A �- (Mandatory kn NH} E L UISEASE - EA EMPLOYEE S 2���4� IT yes, describa under 2� q� IIESCRIPiION OF OF'ERATIONS below E L DISEASE - POI.ICY LIMIT S DESCRIPTiON OF OPERATIONS 1 LQCATIONS! VEHICLES (ACORO 101, Addltlonal RemarNs 5chedule, may Oe atteched fi more spaca la raqulred) The Cily of Fort Collins, C.ol;xado, 'ts of�cers, agenls and employees are addilional insured for qeneral liab�lity and auto haahly bui ar y as required by writlen conlrad wilh resped to the operalions of ihe named insured. The City of Fart Callins, Colorado 30o Laparte Ave Fal Cdlins, CO 80521 SHOGL� ANY dF THE ABOVE QESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCQRDANCE WiTH THE PQLICY PROVISIONS. AUTFiOR12ED REPRESENTATIVE of Mersh USA Inc. Kalie Stephens O�(p6/-L�..si}��'tejo�-� � 19$5-2016 ACORD CORPORATION. All rights reserved. ACORd 25 (2016103j The ACORD name and logo are registered marks o6 ACORD