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HomeMy WebLinkAboutCarrier Corporation - Insurance Certificate 2025 DATE(MWDD/YYYY) A`oR" CERTIFICATE OF LIABILITY INSURANCE 0312112025 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA,LLC. NAME` _-- --- 1166 Avenue of the Americas A//c°r o Ext: n/C No New York,NY 10036 E-MAIL ADDRESS: Carrier.certrequestPmarsh.com INSURER(S)AFFORDING COVERAGE NAIC# CN101479273-CCS-GAW'-25-26 Yes - __INSURER A: Old Republic Insurance Company 24147 INSURED CARRIER CORPORATION INSURER B: AIU Insurance Co 19399 13995 PASTEUR BLVD INSURER C: PALM BEACH GARDENS,FL 33418 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-010482346-17 REVISION NUMBER: 2 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR I D D POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY MWZY316149-25 04/01/2025 04/01/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE IX OCCUR $2,000,000 General Aggregate' DAMAGE PREM SESOE.ocRENcur ence $ 300,000 'Per Location' MED EXP(Any one person) $ 10,000 310,000,000 General Aggregate' PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 'Per Policy GENERAL AGGREGATE $ 2,000,000 X �JPRO- POLICY X� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea_accident)--- ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WC 064083735(AOS) 04/01/2025 04/01/2026 PER OTH- AND EMPLOYERS'LIABILITY Y/N WC 064083736(WI) 04/01/2025 04101/2026 X STATUTE ER B ANYPROPRIETOR/PARTNER/EXECUTIVE ) E.L.EACH ACCIDENT $ 2,000,000 OFFICER/MEMBEREXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under See ACOfd 101 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:JCDG0623210812 CERTIFICATE HOLDER CANCELLATION City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Services THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 281 N College Avenue ACCORDANCE WITH THE POLICY PROVISIONS. fort Collins,CO 80524 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101479273 _ LOC#: New York A`COR" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA,LLC. CARRIER CORPORATION 13995 PASTEUR BLVD POLICY NUMBER PALM BEACH GARDENS,FL 33418 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance CONTINUED FROM WORKERS'COMPENSATION: INSURER:AIU Insurance Company POLICY NUMBER:WC 064083735 EFFECTIVE DATE:04/01/2025 EXPIRATION DATE:04/01/2026 ADDITIONALSTATES COVERED:AL,AR,AZ,CA,CO,CT,DC,DE,FL,GA,HI,IA,ID,IL,IN,KS,KY,LA,MA,MD,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,NY,OR OK,OR,PA,RI,SC,SD, TN,TX,UT,VA,VT,WA,WV,WY ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights i The ACORD name and logo are registered marks of ACORD 0050-01-00-0001403-0002-0006291