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480452 MOSAIC CROP NUTRITION LLC - INSURANCE CERTIFICATE
CERTIFICATE OF LIABILITY INSURANCE OATEIMM/DDIYYYY) a a�D,3 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 Aon Risk Services Central, Inc. Chicago IL office 200 East Randolph Chicago IL 60601 USA CONTACT NAME: PHONE (866) 283-7122 FA% (3- 800) 360105 MC. No. Evt: AID. Nd.: RESS; EApp� INSURER(S)AFFORDING COVERAGE NAtDa INSURED INSURER A: Old Republic Insurance Company 24147 INSURER B: Mosaic Croo Nutrition. LLC: The Mosaic r7 NSURERC: rr Company, itssubsidiaries & Affiliates "1JL� Attn: Mike Bishop, Director Risk mgmt. Atria Corporate Center, Ste E490 INSURER D: 3033 Campus Drive Plymouth MN 55441 USA INSURER E: INSURER F: L.VVC14AbC.l a le—. r,...,..—'... --- ...__._ 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. Umrla shown are as requested TYPE OFINSURANCE GENERAL LIABILITY INS POLICY NUMBER SIR applies per policy terns SIR & condi ions LIMITS EACH OCCURRENCE $3,000,000 Excluded X COMMERCIAL GENERAL LIABILITY CUIMSMADE %❑OCCUR PREMISES Es accummae MED E%P (Any one peron) EXC1Uded PERSONAL a ADV INJURY s3.000.000 GENERAL AGGREGATE S6,000,000 PROOUCTS.COMP/OPAGG $3,000,000 GENL AGGREGATE LIMIT APPLIES PER: TRO- X I POLICY F P LOC A ECT AUTOMOBME LAGRUW MWTB 300733 SIR applies per policy teris 10/22/201� & condi 10/22/ZU141 ions COMBINED SINGLELIMIT S3,000,D00 BODILY INJURY (Porpendn) X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Par edmdanq PROPERTY DAMAGE PoramtleM EACH OCCURRENCE UMBRELLA IIAB OCCUR AGGREGATE EXCESS La1B CLIllMSMADE OEO I IRETENTION A WORKERS COMPENSATION MU MWC30073200 10/22/2013 10 22 2014 )( IWC O LIMIT OTH- E.L.EACHACCIDEM $3,000,006 EMPLOYERS'LUBILJTY YIN M PROPRIETORIPMTNERIEXEcUTTA! N NIA E.LDISEASE.EA EMPLOYEE $3,000,000OFFM (MYYendemry in N1) DESCRIPTION.. OPERATIONS Below E. L. DISEASE -POLICY LIMIT $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aroce ACORD 101. Addleoml Remerks Schedule, R Ton epu M nyuind) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins CO I AUTHORIZED REPRESENTATIVE 4316 W. La Porte Ave. Fort Collins CO DE 80521 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD z Y