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HomeMy WebLinkAbout131664 LEXIS NEXIS REED ELSEVIER INC - INSURANCE CERTIFICATEACDp ^®
I1 l-J CERTIFICATE OF LIABILITY INSURANCE
DATE (MWDD/YYYY)
12/30/2010
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 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
MARSH USA, INC.
99 HIGH STREET
CONTACT
NAME:
FAX
PHONN A/C No):
E-MAIL
ADDRESS:
BOSTON, MA 02110
PRODUCER
CUSTOMER1 M
INSURERS AFFORDING COVERAGE
NAIC #
S03767-ALL-GAWU-11-12
INSURED
INSURER A: ACE American Insurance Company
22667
LEAS NEXIS
REED ELSEVIER INC.
ATTN: MICHAEL A. WEBER
INSURER B : Zurich American Insurance Company
16535
INSURER C : American Zurich Insurance Company
40142
PO BOX 933
DAYTON, OH 45401
INSURER D :
INSURER E :
'
INSURER F :
COVERAGES CERTIFICATE NUMBER: NYC-004399179-12 REVISION NUMBER: 1
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
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MWDD/YYYY
POLICY EXP
MWDD/YYYY
LIMITS '
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
C
CLAIMS -MADE F—xl OCCUR
G24876512
01/01/2011
01/01/2012
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
S 10,000
PERSONAL & ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
B
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP 8376848-12
-
01/01/2011
01/01/2012
COMBINED SINGLE LIMIT
(Ea accident)
$ 2,000,000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
DEDUCTIBLE
RETENTION $
$
$
C
B
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
Ir yes, describe under
DESCRIPTION OF OPERATIONS below -
N / A
WC 8376845-12 (ADS)
WC 8376905-10 (ID)
WC 8376847-12 WI
( )
01/01/2011
01/01/2011
01/61/2011
01/01/2012
01/01/2012
01/01/2012
X WC LIMIT 0E,
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CITY OF FORT COLLINS
ATTN: DAVID CAREY
PURCHASING DIVISION
215 NORTH MASON STREET- 2ND FLOOR
FORT COLLINS, CO 80521
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Edward R Ford ,f—•v�c.oC
©1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
0004101 SP 0137-001-P04103-1
CITY OF FORT COLLINS
ATTN: DAVID CAREY
PURCHASING DIVISION
215 NORTH MASON STREET- 2ND FLOOR
FORT COLLINS, CO 80521