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HomeMy WebLinkAboutCoplogic - Insurance Certificate 2025 A CERTIFICATE OF LIABILITY INSURANCEF7771(2 MM/D2024 Y) /2D,2o24 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 c certificate does not confer rights to the certificate holder in lieu of such endorsement(s). d PRODUCER CONTACT .� Aon Risk Services Northeast, Inc. NAME: PHONE Boston MA Office (A/C.No.Ext): (866) 283-7122 aC No.): <800) 363-0105 y 53 State street E-MAIL C suite 2201 ADDRESS: _ Boston MA 02109 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins Co 16535 COplogic, a RELX Inc Company INSURERB: ACE American Insurance Company 22667 231 Market Place suite 520 INSURER C: San Ramon CA 94583 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570109970552 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. Limits shown are as requested INSH LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYY MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY G EACH OCCURRENCE $10,000,000 CLAIMS-MADE M OCCUR PREMISES(Ea occur $1,000,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE PRO- $10,000,000 a X POLICY JECT LOC PRODUCTS-COMP/OPAGG $10,000,000 c OTHER: Host Liquor List, $5,000,000 A AUTOMOBILE LIABILITY BAP 8376848 26 01/01/2025 01/01/2026 COMBINED SINGLE_LIMIT $5,000,000 Ea accident) X ANYAUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) d AUTOS ONLY AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident •,,V X Comp Ded$1,000 X Collision Ded$1,000 tv UMBRELLA LIAB OCCUR EACH OCCURRENCE 0 EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION A WORKERS COMPENSATION AND WC837 8452 51 01 20 5 01 01 2026 X I PER STATUTE 1 OTH- EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below 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 required) Z'+ City of Fort Collins is added as additional insured on the General Liability subject to the policy limitations, conditions and W exclusions. a CERTIFICATE HOLDER CANCELLATION f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ,'�• City Of Fort Collins AUTHORIZED REPRESENTATIVE o 300 LaPorte Ave ca Fort Collins CO 80521 USA ^� ��pp ,��//'+ $ ,Von W 1�Jiurams c/Y-otd�aod`✓L — g 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000055869 LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk services Northeast, Inc. Coplogic, a RELX Inc Company POLICY NUMBER See Certificate Number: 57010997OS52 CARRIER NAIC CODE See Certificate Number: 570109970552 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Companies Affording coverage LINE OF BUSINESS DESCRIPTION POLICY NUMBER POLICY POLICY COMPANY NAIC PRIMARI PERCENTAGE EFFECTIVE EXPIRATION (V/N) OF DATE DATE FLAG RISK (MM/DD/Yyyy) (MM/DD/YYYY) Business Auto Coverage BAP 8376848 26 1/1/2025 1/1/2026 Zurich American ins Co 16535 Y 100 General Liability G46663160 1/1/2025 1/1/2026 ACE American insurance Company 22667 Y 100 Coverage workers Compensation wC837684526 1/1/2025 1/1/2026 Zurich American Ins Co 16535 Y 100 a a rn 0 The Subscribing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligations. ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD