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HomeMy WebLinkAbout454230 MCGLADREY LLP - INSURANCE CERTIFICATEA1 �® CERTIFICATE OF LIABILITY INSURANCE DATE YVYY) „12112012120,2 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 Kansas City, MO 64108 CONTACT NAME: PHONE FA% -W.Q Mu.. aC No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC e ,/' 4 824056 MP-GAWUP-12-13 µ5 D INSURER A Sentry Insurance A Mutual Co 24988 INSURED n One Oe South LLP Wacker Drive, Suite 800 INSURER B : Federal Insurance Company 20281 INSURER c ;Liberty Mutual Fire Insurance Company 23035 Chicago, IL 50606 INSURER D: Sentry Casualty Company 28460 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-004344476-03 REVISION NUMBER:0 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 LTA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP flM1VVDDNYYYI LIMITS A GENERAL LIABILITY 90-1852404 1113012012 1113012013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) 1 000000 $ CLAIMS OCCUR 10,000 -MADE MED EXP (Any one person) $ 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 PRO- LOC $ A AUTOMOBILE LIABILITY 90-18524 05 (ADS) 11/3012012 1113012013 COMBINED SINGLE LIMIT (So accident 5 1,000,000 X BODILY INJURY (Per person) S A ANY AUTO 90 18524 06 (MA) 1113012012 1113012013 ALL OWNED SCHEDULED AUTOS AUTO($ BODILY INJURY (Per aceden) $ X X NONWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident S Is B X UMBRELLA LIAR X OCCUR 936418-93 11130/2012 11130/2013 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LAB CLAIMS -MADE DEC RETENTION$ $ A WORKERS COMPENSATION 90 18524 01 (ADS) 11130/2012 1113012013 X we STATu- OTH- D AND EMPLOYERS' LIABILITY ANY PROPRIETONPARTNERIEXECUTIVE Y/N 90-18524-02(WI) 1113012012 11/3012013 1,000,000 O EXCLUDED? N NIA E.L. EACH ACCIDENT $ E.L. DISEASE EA EMPLOYE $ 1,000,000 andiat ry in N I IMandat in Nnd Iles, describe uncle! scr DRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1,000,000 C Progeny YU2-L9L 460316 012 1113012012 1113012013 Blanket Limit: 1,000,000 Valuable Papers 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is rec uirod) Office: 201 N. Harrison, Suite 300, Davenport IA 52801 City of Furl Collins. Colorado is named as Additional Insured if required to be so by writiel contract. Coverage shown is primary and non-contributory it required to be so by mitten contract. Waiver of Subrogation is granted it required to be so by written contact. City of Pon Collins, Colorado Attn: James B. O'Neill, Director of Purcflnny and Risk MgrnL 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 f- [` r- © 1988-2010 ACORD CORPORATION. All ricl reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD