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HomeMy WebLinkAbout489486 TUV RHEINLAND NORTH AMERICA HOLDING INC - INSURANCE CERTIFICATETUVRH-2 OP ID: SK T 4`� CERTIFICATE OF LIABILITY INSURANCE DAT12/30/ 1 rY) .THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS.UPON THECERTIFICATEHOLDER. 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 endorsements . PRODUCER 203-702.4700 CONTACT NAME: Rose & Kiernan, Inc. (Danbury) 203-7024759 Lee Farm Corporate Park 83 Wooster Heights Road Danbury, CT 06810 PHONE a No: ACDORLESS INSURERS AFFORDING COVERAGE NAIC N INSURER A:HDI-Gerling America Ins Co. INSURED TUV Rheinland North America 1' 0.+� �Q INSURER B:Travelers Property Casualty 341 Holding, Inc. Yro (f 1300 Massachusetts Ave Ste 103 INSURER C:Travelers Casualty & Surety Co Boxborough, MA 01719 INSURER D: INSURER E COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMB POLICY EFF POUCYEXP LIMITS GENERAL IIABRJTY EACH OCCURRENCE $ 1,000,00 PREMISES Eaocvurrence $ 100,00 A X COMMERCIAL GENERAL LIABILITY GLD1152901 01101/12 01/01113 CLAIMS -MADE FvI I OCCUR MED EXP(Anyone person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE S 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,00 $ POLICY 7 PR0. LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent E 1,000,00 BODILY INJURY (Per person) $ B 'I ANY AUTO- - P8103343P614TIL12 01101/'12 01/01/13 ALLOWNED SCHEDULED AUTOS OS NON -OWNED HIRED AUTOS gUTOb BODILY INJURY (Per amdent) $ PROPERTY DAMAGE Per accident $ $ X UMBRELLAU,%B X OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE S 4,000,00 A EXCESS LIAR CLAIMS -MADE CUD1153001 01/01112 01101/13 DED I X I RETENTION S 330000 1$ 1 1 C WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y PACRUB328OP50612 01/01112 01/01/13 WCSTATU GR- X E.L. EACH ACCIDENT $ 1,000,00 OFFICEWMEMBER EXCLUDED' ❑ (Mandatory In NH) N I A E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT S 1,000,00 If yes, describe under DE SCRIPTION OF OPERATIONS Cel.w A Professional Liab GLD11631-01 01/01112 01/01/13 Occurrent 1,000,00 Claims Made Aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: 7218 ISO 14001 Audit Services The City of Fort Collins, its officers and employees as an additional insured with respect to General Liability but only as required by written contract/agreement. CITYFO8 The City of Fort Collins Purchasing Division PO Box 580 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. (AUT HORIZED REPRES ENTATIVE A('� �- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD N07EPAD TUVRH-2 RAGE 2 INSURED'S NAME TUV Rheinland North America OP ID: SK DATE 12/30H1 TravelersInsuranceCompany_