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HomeMy WebLinkAbout480452 THE MOSAIC COMPANY - INSURANCE CERTIFICATE (2)m " o CERTIFICATE OF LIABILITY INSURANCE DAEIMMIDD/YYYY) T D2,/2D„ 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 endomement(s). PRODUCER CONTACT NAME: Ann Risk Services Central, Inc. Chicago It Office PHONE (866) 283-2122 FAX (84,7) 953-5390 (Arc. No. Ertl: en; No.: E4 L ADDRESS: 200 East Randolph Chicago It 60601 USA INSURER(S) AFFORDING COVERAGE NAIC a INSURED INSURERAL New Hampshire Ins Co 23841 Mosaic Crop Nutrition, LLC; The Mosaic Company, its Subsidiaries & Affiliates INSURER B: National Union Fire Ins Co of Pittsburgh 19445 INSURER C: Attn: Terry Van Vuren Atria Corporate Center, Ste E490 3033 Campus Drive INSURER D: INSURER E: Plymouth MN 55441 USA INSURER F: 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 MWDD MIIDD LIMITS B GENERAL LIABILITY GL EACH OCCURRENCE $3,000,006 % COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence E%Cl uded CLAIMS -MADE X❑ OCCUR MED EXP(My one person) Excluded PERSONAL &ADV INJURY $3,000,000 GENERAL AGGREGATE $6,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG S3,000,000 X POLICY PRa LOC B AUTOMOBILE LIABILITY CA430-96-34 10 22 201110 22 2012 COMBINED SINGLE LIMIT $3,000,000 BODILY INJURY I Per person) % ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON-0WNEO AUTOS BODILY INJURY (Per ersideng PROPERLY DAMAGE Per acasem UMBRELLA LJAB OCCUR EACH OCCURRENCE EXCESS UMCLAWS- ADE AGGREGATE DED I RETENTION A WORKERS COMPENSATION AND EMPLOYERS'UAGIl1TY YIN WC015884286 All other states 10 22/ 001110/22/2012 WC STAID- DTH- X TORY LIMITS IE EL EACH ACCIDENT $3,000,000 ANY PROPRIETOR PARTNER I EXECIRNE OFFICER/MEMBER EXCLUDED? I` NIA SIR applies per policy ter s & COndl TOOs E.L. DISEASE -EA EMPLOYEE $3,000,000 q (Mandatory in NNJ WCO26149832 12/30/201010/22/2011 OrYar dscramIPTION OFF DESCRIPTION un OPERATIONS 6eba TX E.L. DISEASE -POLICY LIMIT $3,000�000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AKacN ACORD 101, Additional RemaAs Schedule, if more space Is required) I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins Co 4316 W. La Porte Ave. AUTHORIZED REPRESENTATIVE Fort Collins CO DE 80521 USA � ✓L� �iGtfr� ��� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD