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HomeMy WebLinkAbout- - (18) DATE(MM/DD/YYYY) A�ORO 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: AOn Risk services Northeast, Inc. a) New Jersey office (A/C.No.Ext): (866) 283-7122 (A/C.No.): (800) 363-0105 44 Whippany Road, Suite 220 E-MAIL p Morristown NJ 07960 USA ADDRESS: _ INSURER(S)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 NJ 07974-0636 USA INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570112881494 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY USL EACH OCCURRENCE $5,000,000 CLAIMS-MADE X❑OCCUR DAMAGE IUHFNTF PREMISES Ea occurrence $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 v X POLICY ❑PRO ❑ co JECT LOC PRODUCTS-COMP/OPAGG included co OTHER: o r` AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea c ident ANY AUTO BODILY INJURY(Per person) C SCHEDULED Z OWNED AUTOS BODILY INJURY(Per accident) w HIRED AUOTOSY NON-OWNED PROPERTY DAMAGE M ONLY AUTOS ONLY Per accident d UMBRELLALIAB OCCUR EACH OCCURRENCE V EXCESS LIABF CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND PER STATUTE OTH- EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICERWEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Cyber Liability 54185 OS/01/2024 07/01/2025 Occurrence 5,000,000 Prof. Liability & cyber Aggregate $5,000,000 SIR applies per policy ter s & condi In ions .2 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Supply and Services Agreement # 00051516.0, Effective Date: August 10, 2023. The City, its officers, agents and employees are included as Additional insured in accordance with the policy provisions of the General Liability policy. General '¢ Liability policy evidenced herein is Primary to other insurance available to Additional Insured, but only in accordance with the policy's provisions. CERTIFICATE HOLDER CANCELLATION C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE w EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE +�7 POLICY PROVISIONS. i City of Fort Collins, Colorado AUTHORIZED REPRESENTATIVE c City Hall west c 300 LaPorte Ave. c Fort Collins CO 80522 USA �/I 6 p C��J`1t I/' �JL ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD