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Home My WebLink About489486 TUV RHEINLAND NORTH AMERICA HOLDING INC - INSURANCE CERTIFICATE (2)TUVRH-2 OP ID: SK CERTIFICATE OF LIABILITY INSURANCE 01/02 DATOIYYYYI 01/02113 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 .. 203-702-4700 Rose & Kiernan, Inc. (Danbury) 203-702-4759 Lee Farm Corporate ParkN 83 Wooster Heights Road Danbury, CT 06810 COAMTACT PHONE FAXNo: EMI. Eo AE . INSURE 5 AFFORDING COVERAGE NgICN INSURER A:HDI-Gerling America Ins Co. INSURED TUV Rheinland North America Holding, Inc. 1300 Massachusetts Ave Ste 103 Boxborough, MA 01719 INSURER B:Travelers Property Casualty 341 INSURER C:Travelers Casualty & Surety Co 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 POLICYima N MBER POLICY EFF POLICY EXP LIMITS GENERAL ABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea ccunarc.l $ 100.00 A X COMMERCIAL GENERAL LIABILITY GLD1152903 01/01/13 01/01114 CLAIMS -MADE OOCCUR MED EXP(Anyone Person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE Eaac01den1 LIMIT 1,000,00 BODILY INJURY (Per Person) $ B ANY AUTO P8103343P614TIL13 01/01/13 01/01/14 ALLOWNED SCHEDULED AUTOS AUTOS I BODILY INJURY (Per acddent) E HIRED AUTOS NON -OWNED AUTOS PROPERTY accDAMAGE ben $ S X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 4,000,00 AGGREGATE $ 4,000,00 A EXCESS B CLAIMS -MADE CUD1153003 01/01113 01/01114 TIED XUARETENTION S 330000 $ C WORKERSLOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE YIN OFFICERArMBER EXCLUDED? ❑ (Mandatory In NH) NIA PACRUS328OPS0613 01101113 01/01/14 X WC STAk1TU- OTH- TORY E.L. EACH ACCIDENT E 1,000,00 E.L. DISEASE - EA EMPLOYE E 1,000,00 n Yes, descdDe Under DESCRIPTION OF OPERATIONSnelow E.L. DISEASE POLICY LIMIT $ 1, 000,00 A Professional Liab GLD11531-03 01/01113 01101/14 Occurrent 1,000,00 Claims Made Aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARach ACORD 101, Addidonal Remarks Schedule, B 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. AUTHORIZED REPRESENTATIVE '\�('-� �- reserved, ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD NIOTEPAD TUVRH-2 PAGE 2 INSURED'S NAME TUV Rheinland North America OP ID: SK DATE 01/02/13 Excess Liability Policy - Carrier: St Paul Fire 6 Marine Insurance Co Policy A ZUP-12SO9320-13-NF Effective 1/l/13-14 Limit of Liability $20,000,000 Each Occurrence/$20,000,000 Aggregate Excess over Automobile Liability Policy HP8103343P614TIL13 and Employers Liability Policy #PJUB3280P50613