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Home My WebLink About326757 CENVEO INC - INSURANCE CERTIFICATER" CERTIFICATE OF LIABILITY INSURANCE A`OOS"J0/2013 DATE(MMYYYY) 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. 1166 Avenue of the Americas CONTACT NAME: PHONE FAX N New York, NY 10036 E-MAIL ADDRESS, INSURE S AFFORDING COVERAGE NAIC0 010191—CAS-13-14 INSURER A: Twin City Fire Insurance Co 29459 INSURED D Inc. 2First irs 00 Stamford Place 326 ' 6 3& INSURER B : Hartford Fire Insurance Go 1992 INSURER C : Hartford UndervXiters Insurance Company 30104 2nd Floor Stamford, CT 0%02 INSURER D : American Guarantee & Liability Ins Co 26247 INSURER E: Trumbull Insurance Company 27120 INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006620601-04 REVISION NUMBER' 5 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. INR LTRPOLICY TYPE OF INSURANCE ADOL U NUMBER POLICY EFF IMM D POLICY EXP D LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE M OCCUR 10 ECS S12510 10I01/2013 10N10014 EACH OCCURRENCE S 2.750.000 RREMI $ 2,750,000 MED EXP (Any one non S PERSONAL S ADV INJURY s GENERALAGGREGATE S 2,750,DOD GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY M PRO- 7 LOG JFCT PRODUCTS - COMPIOP AGG S 2,750.00D SIR S 250,000 B C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 10 CSE S12512(ADS) 10 CSE S12513 (HQ 101D112013 1010112013 10101/2014 1010112014 COMBINED SINGLELIMIT Ea accident 3000000 X BODILY INJURY (Per Person) , S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccal $ S D X UMBRELLA W1B EXCESS LIFO X OCCUR CLAIMSMAOE AUG 930134912 10/0112013 10101/2014 EACH OCCURRENCE S 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTIONS $ E WORKERS COMPENSATION S- AND EMPLOYERLIABILITY YIN ANY PROPRIETOR/PARTNEPJEXECUTIVE OFFICER/MEMBER EXCLUDED9 F7N (Mmdatory In NH) If yes, desri.1- under DESCRIPTI N OF OPERATIONS bab NIA 10 WN S12508 (AOS) 10101/2013 10/0112014 X I WC STATU- OTH- E.L. EACH ACCIDENT $ 1.000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT S 1 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remade Schedule, H mom specs Is required) THE CITY OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS' COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT. CITY OF FORT COLLINS PURCHASING DIVISION AT7N: DAVID CAREY CPPB BUYER 215 NORTH MASON 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 of Marsh USA Inc. Sharon Smith ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD