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Home My WebLink About454230 MCGLADREY & PULLEN LLP - INSURANCE CERTIFICATE (3)�`� a CERTIFICATE OF LIABILITY INSURANCE DATE(Mk1DDYYYY) 11/15/2071 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. 2405 Grand Boulevard, #900 CONTACT NAME: A X (A/C No ExitPHONE A/C No): EMAIL ADDRESS: Kansas City, MD 64108 INSURERS AFFORDING COVERAGE NAIC if INSURER A: Sentry Insurance A Mutual Cc 24988 824056-MP-GAWUP-11-12 INSURED McGladrey 8 Pullen, LLP 1555 Palm Beach Lakes Blvd., Suite 700 INSURER B: Federal Insurance Company 20281 INSURER C : AXIS Insurance Company 37273 West Palm Beach, FL 33401 INSURER D: Sentry Casualty Company 28460 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-004344476-01 REVISION NIIMRFR-n 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 ADOL SUER POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MWDD/YYYY LIMITS A GENERAL LIABILITY 90-18524-04 11/30/2011 11/30/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR DAMAGE TORENTED PREMISES Ea occurrent S 1,000,000 IVIED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X I POLICY r PRO- LOC $ A AUTOMOBILE LIABILITY 90-18524-05 1113012011. 1113012012 COMBINED SINGLE LIMIT His accident 1,000,000 '� BODILY INJURY (Per person) $ A ANY AUTO 90-18524-06 1113012011 1113012012 ALL OWNED SCHEDULED AUTOS AO S BODILY INJURY Per accident) $ X HIRED AUTOS X NOUT N-OWNED AUTOS PROPERTY DAMAGE Per accitlent $ $ B X UMBRELLA LIAR X OCCUR 9364-18-93 11/3012011 11130/2012 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMSMADE DED I I RETENTIONS I $ A WORKERS COMPENSATION 90-18524-01 11/30/2011 11/30/2012 X wCBTATu- OTH- D AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEVEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? � NIA 90-16$24-02 11/30I2011 11/3012012 E.L. EACH ACCIDENT $ 1,000,000 ISEASE- EA EMPLOYE1 E.L. DIf 1,000,000 (Mandatory in NH) es. doscripe uner DESCRIPTION O FOPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 C Property MCB764312-11 11/30/2011 11/3012012 Blanket Limit 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Ice: 201 N. Harrison, Suite 300, Davenport IA 52801 City of Fort Collins, Colorado is named as Additional Insured if required to be so by written contract. Coverage shown is primary and noncontributory if required to be so by written contract. Waiver of Subrogation is ranted if required to be so by written contract. City of Fort Collins, Colorado Attn: James B.0"Neill, Director of Purchasing and Risk Mgmt. 215 N. Mason Street, 2nd Floor Fort Collins, CO 80522 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. Keith A. Stiles m 1988-2010 ACORD CORPORATION- All rinhts reeervcd ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD MEMO RE: 2011/2012 Certificates To Whom It May Concern: Enclosed you will find a new certificate of insurance, for your records. Please note that we have changed our policy term and the insurance carrier. We request that you please review the certificate and advise if you no longer need our certificate of insurance. Also, please advise if you have any changes by e-mailing or faxing your request to: Marsh USA, Inc. Attn: McGladrey & Pullen Certificate Team Fax: 212-948-0015 E-mail: Kansascity.certrequestOmarsh.com Please include a copy of the certificate in your e-mail or fax and complete the below form. The certificate will be corrected and re -sent. If you no longer require a copy of the certificate, please indicate below and it will be removed from the mailing list. Delete Certificate? Yes No Amend Certificate (Only changes to the fields below will be made.) Certificate Holder Name Attn: Street Address 1 Street Address 2 City / State / Zip