HomeMy WebLinkAboutMILLIMAN USA - INSURANCE CERTIFICATE,'�-`"`�I�'k.X.�E
I�j'�[ I� -0 CERTIFICATE NUMBER
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E sif: G SEA-000273649-01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
PRODUCER
Marsh USA Inc.
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1215 Fourth Avenue, Suite 2300
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Seattle, WA 98161-1095
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Attn: Becky Anderson (206) 613-2525
COMPANIES AFFORDING COVERA
COMPANY
33602-STAND-CAS-03-04
A ATLANTIC MUTUAL INSURANCE CO
INSURED
COMPANY
MILLIMAN USA, INC.
B N/A
ATTN: JULIE MANHEIM
1301 5TH AVE #3800
COMPANY
SEATTLE, WA 98101-2506
C
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDNY)
POLICY EXPIRATION
DATE (MMIDDNYI
LIMITS
A
GENERALLIABIUTY
7680085520001
06/30/03
06/30/04
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE O OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 1,000,000
MED EXP (Any one n
$ 10,000
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
z
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EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABIUTY
W A U- H
TORY LIMITS ER
EL EACH ACCIDENT
$
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -POLICY LIMIT
$
EL DISEASE -EACH EMPLOYEE
$
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECUIL ITEMS
EVIDENCE OF INSURANCE
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL __Aj DAYS WRITTEN NOTICE TO THE
CITY OF FORT COLLINS
ATTN: JIM HUME
CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
256 WEST MOUNTAIN AVE
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
FORT COLLINS, CO 80522-0580
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Richard S. Cuff.
TJIM1j61(k2}, VALID AS OF: 06/27/03