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HomeMy WebLinkAbout495925 HAYS COMPANIES - INSURANCE CERTIFICATECERTIFICATE OF°LI"ABILITY''INSURANCEV 2" v"°01/18/2013Y' "'' 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 1-612-333-3323 CONTNAME ACT Melody Xronbach or Sara McWethy Hays Companies PHONE FAX - AIC No Est: 612-333-3323 _ AIC No:.612-373-7270 - E-MAIL mkronbach®ha atom antes. tom ADDRESS: Y P 80 South�8th Street Suite 700 ., Minneapolis, MN 55402 INSURERS) AFFORDING COVERAGE NAIC# INSURER A: HARTFORD FIRE IN CO 19682 I_ INSURED �/� LJ "I INSURER B: SENTINEL INS CO LTD 11000 Hays Companies ` INSURER C HARTFORD CAS INS CO 29424 INSURER D: 80 South 8th Street, Suite 700 INSURER E: Minneapolis, MN 55402 INSURER F: COVERAGES CERTIFICATE NUMBER: 31653706 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 TR OF INSURANCE ADDILTYPE JIM SUER POLICY NUMBER Po CEFF MMIOPOILI°Il'YIF YY M MI00/YVYY LIMITS A GENERAL LIABILITY 41UUNKW8239 01/19/1 01/19/14 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS-MADElxl OCCUR DAMAGE TO RENTED PREMISES Ea occurzenca $ 1,000,00D MED EXP(Any one person) $10,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 X_ POLICY F7 PRO- LOC S B AUTOMOBILE LIABILITY 41UUNKW8239 0 COMBINED SINGLE LIMIT Ea acdtlent S-1,000,000 XAMAGE BODILYINJURY(Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PeI.0 det) 5 5X HIREDAUTOS. X AUTOSNON WNED S COMP/COL C X UMBRELLA LIAB X OCCUR 41XHUKW5423 01/19/13 01/19/14 EACH OCCURRENCE $20,000,000 I AGGREGATE $20, 000, 000 EXCESS LIAB I CLAIMS -MADE DED I X I RETENTION$ 10, 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? 7N] N/A 41VMBP7463 O1 /19/1 O1/19 /14 WCSTATU- OTH- XTOR LIMITS E.L. EACH ACCIDENT !. s`irtu 00,.000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT 51,000,000 A Property 41UUNXW8239 01/19/11 01/19/14 BLXT BPP 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City, its officers, agents and employees shall be named as additional insureds on the general liability and automobile liability insurance policies for any claims arising out of work performed under this Agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 I USA ACORD 25 (2010/05) smcwethy © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD