HomeMy WebLinkAboutMilliman Inc - Insurance Certificate 2024r '`�'t(�A �`n1 �tc'1%�(� DATE(MMlOD/YYYY)
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iH4S CERTlFICATE tS 1SSUED AS A MA'fTEFi OF INFORMA710N ONLY AND CONPEF2S NQ RIGNTS URON 7HE CERTiFICATE HOLDER. 7HIS
CER3'1FiCATE DOES NOT AFFIRMATIVELY flR NEGATIVELY AMElVD, EXTEND OR AL7ER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. 7HIS CERTIFICATE O� INSURANCE DOES NOF CONSTITUTE A CONTRACT BE7WEEN THE fSSU[NG INSURER(S), AUTHORIZED
REPRESENTA7IVE QR PRODUCER, AND TkiE C�RTIFICATE HOLDEFi.
1MPORTANT: !f the certificate hotder is an ADDITlONAL INSURED, the policy(ies) must have ADDIiIONAL. INSUR6D provisions or be endorsed. If ;:
SUBROGATiQN IS WAIVED, subject to the terms and canditions ai the policy, certain policies may require an endorsement. A statement on this ;°.'
certificate does not confer rights to the certiticate holder in lieu of such endorsement(s). '�
PROQIICER CONTACT d
AOtt R1S�< 52fV1C25 Northeast, TflC. �A�ry �
New vork t�Y office (
wc. No. ezq: (312) 381-1000 ;qtC. No.?: C312) 381-7007 �
One Liberty Plaza E-MAIL
165 Broadway, Suite 3201 ADDRESS: �
New vork rvv ].00Ofi u5A
INSURER{S) AFFpRDING COVERAGE NAIC #
COVERAGES CERTlFiCATE NUMBER: 570706797323 fiEVtSIQN NUMBEFi: �
7H1S IS TO CER'I'IFY THAT THE POLICIES QF INSUAANCE LISTED 6E�OW HAVE BEEN tSSUED TO THE WSURED NAMEd A60VE FpR THE POUCY PERfOD **
tNDICATED NO7W!
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INSUAED
Mil1iman, S11C.
1301 FifCh Avenue
ste. 3800
Seattle wA 98101 USA
THSTANDING ANY REQUlREMENT, TERM �R CONDITION OF ANY C�NTRACT OR OTHER QOCUMEN7 WITH RESPECT TO WHICH 7HIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFdRDED 6Y THE POLIGIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS,
EXCLUSfONS AND CONDlT10NS OF SUCH POLiCEES. LIMITS SHOV+lN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
LTR TYPE QF INSURANCE INSO WVD POLICY NUMBER MM/DO/YYYY MM/DDIYYYY LIMITS
X COMMHRCIAt GENERAL LIABtI.iTY EACN OCCURRENCE $1, OOO, OOO
CLAIMS•MApE X� OCCUR G011C rd7 4i abi 1 i ty $1, 000, 000
FREMISE5 Ea occurronco
MEn EY.P (Any one person} $IS , 000
PERSONALS�ADVINJURY $1,000,000 N
GEN'LAGGFiEGATE LIMITAPP�IES PER: GENERAI.AGGREGATE $Z , 000, OQO �
P4t,IGY � pE � �X �OC PRODUC7S - COMP/OP AGG incl uded o
p7NER: o
n
A AUTpMOBtIELIABiiliY 7363-49-03 Q6/30/202406/30/ZOZS CO1vS81NEDSINGlELIMIT �
Auto �.iability Ea �en S1,Q00,000 ,.
X ANYAUTO BODI4Y WJURY ( Per person) a
SCHEpULED �
OWNED 60DILY INJUFiY (Per accfdent} �
nuros
OREDAU�703Y NON•4WNED PROPERTYDAMAGE V
OMLY AUTOS ONLY Por accldont _
X �oducllble • 91,000 �
N
B X UMBRELLALIAB X OCCUR 78199680 06 30/i02h 06 3Q 2025 EACHOCCURRENCH $1,00O,O�Q U
Umbrel7a Liability
HXCESS LfAB C4A1MS-MADE AGGS�EGATE $1, OOQ � OOO
DE6 RETENTION
C WORKERSCOMPEN9ATtONAND 571839056 06 30 202A 06 30 2025 x PERSTATUTE OTH•
EMPI.pYEAS'LIABlLITY vtN workers Compensat�on ��
ANY PROPRIETOR/ PARTNE•RJ EXBCU7tVC E.L. EACH ACCIDENT $1, OOO � OOO
OPFICER�M@MBER EXCLUDEO? � N / A
(Mandatory In NHJ E.l. QISEASE•EA EMPLOYEE 31, 000, 000
Ii os, describo undor
fl�SCRlPT10N OF OPERATIONS b010w E.L. DISEASfi-POLiCY UMIT $1, �OO, OOO ---
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DPSCRIpTION OF OPERATIDNS! LOCATIONS / VEHICLES (ACORD 161, Additfonal Remarks Schedule, may be attached if more space le required) ^'--"
Exhibit of znsurance �
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CEFiTIFICATE HOLDER CANCELLATIQN �
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SHOULD ANY OF THE ABOVE OESGRIBEO PdLICIES $E CANCELIE❑ BEFORE TNE
EXPIRATION DATE THEREOF, NOiICE WILL BE DELIVEREp IN ACCORDANCE WITH 7HE �
POLICY PROVISiONS.
Cit of,Port collins �`-�.«"
Y AUTHORIZEp REPRES£NTATIVE
Attn; 7im Hume �
25b west Mountain Avenue �
Fort Collins CO 86522-0580 USa n/� t�j�f_ /�r,Q��� ,f/'��� Q,"�
J�9ps ?.c�Qf c/ r✓!' dJ —
]NSURERA: Gl'Qat NorChe+•n znsarance C0.
wsuReR e: �ederal znsurance Company
iNsuaeRc: ACe american rnsurance Compa
INSUR�R D:
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Oi988-2015 ACQRD CORPORATION. Aif rights reserved.
ACORd 25 (20i6l03) The ACQRD name and Eogo are registered marks of ACORp
Certificate No: 570106797323
City of Fort Collins
Attn: Jim Hume
256 West Mountain Avenue
Fort Collins CO 80522-0580 USA
Thursday, June 27, 2024
To whom it may concern:
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Following a concentrated effort to reduce our environmental footprint and provide timely certificate
delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format.
Please utilize one of the following methods to ensure you will receive the electronic copy of your
Certificate (Certificate No: 570106797323) for future renewals:
- Visit aon.com/e-cert; or
- Utilize the QR Code below to enter/validate your information.
If your email address has changed or will be changing in the future, or you no longer require this
certificate, please let us know using one of the methods above.
Thank you for your cooperation and willingness to help us reduce our impact to the environment.
Aon Risk Services
5801 Postal Road
PO Box 818037
Cleveland, Ohio 44181-9600
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