HomeMy WebLinkAbout3M COMPANY - INSURANCE CERTIFICATE (4)�oRO� CERTIFICATE OF LIABILITY INSURANCE DQSZ�I�23D�rr)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATEON ONLY AND CONFERS NO RIGHTS UP�N THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER 7HE COVERAGE AFFOR�ED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER�S}, AUTHORIZED
REPRESENTA7iVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate hoide► 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 ris�hts to the certlflcate holder in lieu of such endorsemant(sl.
PRODUCER
Mdrsh USA InC.
333 Souih 71h Street Suite 1d00
MFnneapdis, MN 55402-2400
INSURED
3M Company
3M Cenler Bldg. 2245S-29
5t. ?au1, MM 55144
�i�a
Marsh � U.S. OperaSons
EKu: 866-966-4664
^ Minneapdis.CertRequest@m�
INSURER�S) AFFORDING
a: Indian Harbor Insurance Company
B:
c:
o:
212-948-5382
36940
COVERAGES CERTiFICATE NUMBER: CHI-010235153-01 REVISION NUMBER: 0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIiE INSURED NAMED ABOVE FOR TNE POLICY PERIOD
INDICA7E0 N071MTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DpCUMENT WITH RESPEC7 TO NMICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORpED BY 7HE POLICIES DESCRiBED HEREIN 15 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
���p TYPE Of INSURANCE POLJCY NUMBER M DDYlYYYY MMlDD1YYYY LIMITS
COMMERCIALGENERAL LIABIIJTY EACH OCCURRENCE S
CLAIMS-MAbE � OCCUR PREMISES Ea occurtence S
MED EXP (An one rson S
PERSONAI&ADVINJURY S
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S
POLICY � PR� � LOC PRODUCTS -COMPIOP AGG $
JECT
O7HER s
AUTOMOBILEUABIUTY COMBINED SINGLE LIMIT �
Ea accident
ANY AUTO BODILY INdURY {Per person} $
OWNEO SCHEDULtD gODILYINJURY(PeraccWenty S
AUTOS ONIY AUTOS
HIRED NON-OWNEU PROPFRTYDAMAGE s
AUTOS ONLY AUTOS UNLY Per accidenl
$
UMBRELLALIAB OCCUR EACHOCCURRENCE $
EXCESS L1AB CLAIMS-MAD£ AGGREGATE $
DED RE7ENTION � S
WORKERSCOMPENSATION PER OTH
ANDEMPLOYER3'UABIUTY Y�N STATUTE ER
ANYPROPRIE70R/PARTNER/EXECUTIVE E l F.ACH ACCIDENT S
OFFICERlMEMBEREXCLUDED7 � NfA
(INandatory In NH) E L DISEASE - EA EMPIOYEE $
It yes, descnbe urWer
DESCRIPTION OF OPERATIONS below E L DlSEASE POLICY LIMIT $
A E�OINeNrakSewrirylPrivacy A�fTp0pq0072pg 03/0i12022 OSlOSI2023 Limit: 5,000000
�ability SIR: 15,000 000
DESCRIPTIOH OF OPERA710N5! LOCATlONS 1 VEHICLES (ACORD 10t, AddfUonsl Remark� ScfieEule, may be attached if mors sp�co i� �equlred)
C_F17TICIf`ATF 41A1 1']Fq f AIJf CI 1 ATIAIJ
City of Fort ca�ns
Atln: Belh Diven
P 0. Box 580. 215 N Mason St 2nd Ftoor
FortCollir�s,CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRA7lON qATE THEREOF, NOTICE WILL BE OELIVERED IN
ACCORDANCE WITH TME POLICY PROVISIONS.
AUTFiORIZED REPRESENTATNE
:�iz!a�r.d� ZCSrg �J�cc.
ACOftD 25 (2016103)
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