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Home My WebLink About416522 KROLL FACTUAL DATA - INSURANCE CERTIFICATE (2)a� o® CERTIFICATE OF LIABILITY INSURANCE DATE12012 nvvv> o513azo1z 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 endorsements . PRODUCER CONTACT NAME" MARSH USA INC. PHONE FAXA/c SUITE 400 IAIC. No. Exit No: E-MAIL 1255 23RD STREET, N.W. WASHINGTON, DC 20037 ADDRESS: INSURERS AFFORDING COVERAGE NAIC e INSURER A: Liberty Mutual Fire Ins Co 23035 999584-KROLL- 12-13 INSURED w INSURER B NIA' NIA Kroll Factual Data K1 5200 Hahns Peak Dr INSURER C ; NIA NIA INSURER 0: Loveland, CO 80538 INSURER E NSUPER F: COVERAGES CERTIFICATE NUMBER: CUE-003821193-01 REVISION NUMBER:1 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 TR TYPE OF INSURANCE AODL UBfl POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MW DDNYYY LIMITS A GENERAL LIABILITY T132-611 259903-022 0610112012 06/0112013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMA E T RENTED PREMISES Eaoddrumnc $ 100,000 CLAIMS -MADE M OCCUR MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS - COMP/OP AGO $ 2,000,000 X POLICY PRO- 1-1 LOC $ A- ALROMOBILELIABILITY A57-E11-259903012 0610112012 06101/2013 COMBINED SINGLE LIMIT fee accident) 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per aceitlenl) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTO$ AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS $ A WORKERS COMPENSATION WA7 61D 259903 042 (ADS) 0610112012 0610112013 X I WC STATU70TR H- ST A AND EMPLOYERS' LIABILITY ANY PROPRIETORrPARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A WC7-611-259903032 (DR; Wq - 0610112012 0610112013 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1.000,000 II yes. scrod under DESCRIPTION OF OPERATIONS below - EL DISEASE -POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, i1 more space is required) The Coy of Fort Collins is included as Additional Insured as required by written contract, but limited to the operations of the Insured unber said contract, per the applicable endorsement wish Iespect to the General Liability policy. The City of Fort Collins Attn: City's Director of Purchasing & Risk Management 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. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee 01988-2010 ACORD CORPORATION. All rights ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD