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Home My WebLink About445046 PATTON BOGGS LLP - INSURANCE CERTIFICATE (6)4� o CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDOYYYY) 05I1412012 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(les) 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. PHO INC. No. EMI: (866) 283-7122 F� No.): (847) 953-5390 199 Water Street New York NY 10038-3551 USA E-MAIL ADDRESS: NSURERISI AFFORDING COVERAGE NAIC8 INSURED l� 1, I� INSURER A, Federal Insurance Company 20281 Patton Boggs LLP/\ 2550 N Street, N.W. Washington OC 20037-1350 USA INSURER B: Vigilant Ins CO 20397 NSURERC: Great Northern Insurance Co. 20303 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570046189875 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 MD POLICY NUMBER (MMIDDIYYYY1 IMIWD LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 % COMMERCIALGENERALUVBILDY Package Policy AMAG O PREMISES Ea occurrence $1,000,000 CLAIMS -MADE OCCUR MED FXP(Anyone Peron) $10,060 % Prod-Com R), Intl M GaI Pgg PERSONAL S ADV INJURY S1,000,005 GENERAL AGGREGATE EZ, COO, OOO GEN'L AGGREGATE LIMM APPLIES PER: PRODUCTS - COMPIOP AGO X POLICY PR0. LOC A AUTOMOBILE LIABILITY 74986701 Automobile Policy 10 01 201110 01 2012 COMBINED SINGLELIMIT Ea ecadem E1, 000, 000 BODILY INJURY ( Per person) % ANY AUTO ALL OWNED SCHEDULED AUT05 AUTOS % HIREDAUTOE % NONOWNEO AUTOS BODILY INJURY (Per acuden0 PROPERTY DAMAGE cadent A UMBRELLA LIAB X OCCUR 93630074 10/01/2011 10/01/2012 EACH OCCURRENCE $5,000,000 I EXCESS EMUS CLAIk15ALADE Umbrella Policy AGGREGATE $S, COO, 000 DEO RETENTION G EMPOERSCOYERS LMIPPEENSA NAND ANY M20PRIETOR I PARTNER I EXECUTVE YIN OFFICERIMEMBER EXCLUDED? ❑ NIA 71721244 Workers COmpen5dL10n PO1 OS Ol/2012 OS/O1/2013 X TORY LIMITSµ OT14 E.L. EACH ACCIDENT $1,000,000 EL. OISEASE-EA EMPLOYEE $1,000,000 IMand.mry in NH) Ilym dmcnbeunder OESCRIPTION OF OPERATIONS ocl. EL. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101, AddMonal Remarks Schedule, B mom space is required) Evidence of insurance coverage in force. CERTIFICATE HOLDER CANCELLATION �[ SHOULD MY OF THE ABOVE 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 Munio pal Corporation 4 p.0. BOX 580 Fort Collins CO 80522 USA r✓/ �1J //`� t on 01988.2a0J70 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD