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HomeMy WebLinkAbout445046 PATTON BOGGS LLP - INSURANCE CERTIFICATE (7)�� ® ANC o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) I 1110mDll 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 Aon Risk services Northeast, Inc. New York NY Office CONTACT NAME: PHONE (866) 293-7122 FPX (947) 953-5390 ANC. No. E.an: qIL. No.: E-A1AL ADDRESS: 199 water Street New York NY 10038-3551 USA INSURER(S) AFFORDING COVERAGE NAIC a INSURED INSURER A, Great Northern Insurance CO. 20303 Patton Boggs LLP 2550 M Street, N.W. Washington DC Z0037-1350 USA INSURER B: Federal Insurance Company 20291 WSURERC: Vigilant Ins CO 20397 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570044011501 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 LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD MWDL U.1 DFYYYO LIMITS C GENERAL LIJUl EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY - Package Policy DAMAGE TO RENTED PREMISES Ea o<cunence S1,000,000 CLAIMS -MADE X❑OCCUR MED EXP(My one person) $10,000 I%X Pm0.ComplOp Intl IT send Agg PERSONAL S ADV INJURY S1,000,006 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGO POLICY PRo- LOC B AUTOMOBILE LABILITY 7498 701 Automobile Policy 10 01 201110 01 2012 COMBINED SINGLE LIMIT accident)S1,000,000 BODILY INJURY( Per person) % ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS % HIRED AUTOS X NON�OWNEO AUTOS PROPERTY DAMAGE Peracadent B % UMBRELLA LIAR OCCUR 10/01/201110/01/2012 EACH OCCURRENCE E5, 000, 000 EXCESS LIAR H CLAIMS -MADE �93630074 umbrella Policy AGGREGATE $5,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPAATNERIEXECUTIVE OFFICERIMEMBER E%CLUOEOi ❑NIA (Myandatory in NH) 71721244 workers' Compensation POl OS/01/2011 05/01/2012 X WO STADJI I OT& TORY LIMITS R E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS oeb E.L. DISEASE -POLICY OUT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101. Additional RemaMs Schedule, I more space Is required) Evidence of insurance coverage in force. `e Z CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City Of Fort Collins, Colorado, AUTHORIZED REPRESENTATIVE A Municipal corporation P.O. Box 580 Fort Collins CO 80522 USA ../i ni0" L//'zlle J1 �qy �©,1998.88-200110 ACORD CORPORATION. NI rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD