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Home My WebLink About106536 MILLIMAN INC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE DAT/28/ D/ O6/28Y2012 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 CONTACT NAME: Parker, Smith 8 Feek, Inc. 2233112th Avenue NE Bellevue, WA 98004 PANONE 425-709-3600 FAX 425-709-7460 / N Xt: AIC No: E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC % I {hl INSURER A: Federal Insurance Company INSURED Milliman, Inc. INSURER B: Great Northern Insurance CO. 1301 Fifth Ave., Suite 3800 INSURER C: INSURER D: Seattle, WA 98101 INSURER E : INSURER F : 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 LTR rypE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MMIDDM'YY POLICY EXP MMMDIYYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ,1XIOCCUR 35825959 6/30/2012 6/30/2013 EACH OCCURRENCE $ 1,000,000 DAMAX RENTED PREMISES Ea RENTED PREMISES occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- X LOC JECT PRODUCTS - COMPIOP AGG $ Included $ B AUTOMOBILE X 1HIRED LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NONOWNED AUTOS AUTOS 73525432 6/30/2012 6/30/2013 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERMIEMBER EXCLUDED' (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS bel. NIA 35825959 "Stop Gap Employers Liability-WA,OH,WY, NO 6/30/2012 6/30/2013 TNRYTATU X OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Exhibit of Insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF FORT COLLINS ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Jim Hume AUTHORIZED REPRESENTATIVE 256 West Mountain Avenue Fort Fort Collins, CO 80522-0580 ��y�(.�/�� /t"'v ' . ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1 of 1 MILLIMAN (MAK00)