HomeMy WebLinkAbout- - (17) �/•� ® DATE(MWDD/YYYY)
A a CERTIFICATE OF LIABILITY INSURANCE 05/30/2025
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 w
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
AOn Risk Services Northeast, Inc. NAME: FAX
New Jersey Office (A/C.No.Ext): (866) 283-7122 (A C.No.): (300) 363-0105 a
44 Whippany Road, Suite 220 E-MAIL p
Morristown N7 07960 USA ADDRESS: _
INSURERS)AFFORDING COVERAGE NAIC#
INSURED INSURER A: Swiss Re Corp Solutions Capacity Ins Cor 34916
Nokia of America corporation INSURERB: AllianZ Global Risks US Insurance Co. 35300
600 Mountain Ave.
Murray Hill N7 07974-0636 USA INSURERC:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570112881493 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
INSR LTA TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDD/YYYY MWDD/YYY POLICY EFF POLICY EXP LIMITS
X COMMERCIAL GENERAL LIABILITY USL EACH OCCURRENCE $S,000,000
CLAIMS-MADE M OCCUR PREMISES Ea occurrence) $1,000,000
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $5,000,000 rn
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000
X POLICY PRO-
00
JECT LOC PRODUCTS-COMP/OPAGG Included N
OTHER: p
r`
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident ,
ANYAUTO BODILY INJURY(Per person) C
Z
OWNED SCHEDULED BODILY INJURY(Per accident) N
AUTOS ONLY AUTOS
HIRED AUTOS NON-OWNED PROPERTY DAMAGE
V
ONLY AUTOS ONLY Per accident)
N
B X UMBRELLALIAB X OCCUR USL03151725 06 O1/2025 06 01 2026 EACHOCCURRENCE $1,000,000 V
EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000
17 DED I IRETENTION
WORKERS COMPENSATION AND PER STATUTE I OTH.
EMPLOYERS'LIABILITY Y/N ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? ❑ N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
A Cyber Liability 54185 05/01/2024 07/01/2025 Occurrence $1,000,000
Prof. Liability & Cyber Aggregate $1,000,000
SIR applies per policy terns & conditions
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
MINNESOTA POWER is included as Additional Insured in accordance with the policy provisions of the General Liability policy. Sa
CERTIFICATE HOLDER CANCELLATION 9
1--- g
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE N
POLICY PROVISIONS. g
'•' City Of Fort Collins AUTHORIZED REPRESENTATIVE m
Z81 N. college Ave. o
Fort Collins CO 80522 USA c A���gad 11401, o
o
01988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD