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HomeMy WebLinkAbout- - (14) MASALLC-01 SLUTTRELL ,acoRO CERTIFICATE OF LIABILITY INSURANCE DATE 5/30/2025 2025 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 Zachary Brady NAME: Alliant Insurance Services,Inc. PHONE 847 444-2592 i! FAX No): 353 N Clark St 11th FI (A/C,IL Ext):( ) Chicago,IL 60654 ADD"RIESS,zachary.brady@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Sentinel Insurance Company Ltd 11000 INSURED INSURER B:Underwriters at Lloyd's(Lloyd's of London 00000 Masabi,LLC INSURER C:Scottsdale Insurance Company 41297 1330 Avenue of the Americas Suite 23A INSURER D: New York,NY 10019 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ;ADDLISUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR IN SD WVD MM DD A X COMMERCIAL GENERAL LIABILITY $ 1,000,000 EACH OCCURRENCE CLAIMS-MADE i X OCCUR 83SBATP9381 8/1/2025 1 8/1/2026 DAMAGE TO RENTED 1,000,000 X PREMISES Ea occurrence $ MED EXP An one erson $ 10,000 i PERSONAL&ADV INJURY is 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY i PRO-T I LOC ! PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY EOMBINdEDtSINGLE LIMIT $ 1,000,000 ANY AUTO X 83SBATP9381 8/1/2025 8/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE Is S,000,OOO EXCESS LIAB CLAIMS-MADE i83SBATP9381 8/1/2025 8/1/2026 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION 7EACH OTH- AND EMPLOYERS'LIABILITY UTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y� FE.L. ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) SE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below DISEASE-POLICY LIMIT $ B Cyber Tech Prof Liab IW14063241201 9/28/2024 9/28/2025 'Limit/Aggregate 2,500,000 C Exc Cyber Tech Prof EKS3541616 9/28/2024 9/28/2025 Limit/Aggregate 2,500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) LIMITS OF INSURANCE CONTINUED: Insurer B-W14063241201 09/28/24-09/28/2025-Retroactive Date:08/01/2013 Media,Tech&Professional Liability,Regulatory Defense&Penalties,Data&Network Liability(Inclds:Data&Security Breach and Privacy Policy Violation) Each Claim Limit: $2,500,000-Policy Aggregate Limit: $2,500,000-Retention:$50,000 Insurer C-EKS3541616 09/28/24-09/28/2025-Excess Tech E&O and Network Security&Privacy Liability Each Claim-$2,500,000 Policy Aggregate-$2,500,000 in excess of policy#W14063241201 SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason St. PO Box 580 Fort Collins,CO 80524 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD