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HomeMy WebLinkAbout495925 HAYS COMPANIES - INSURANCE CERTIFICATE (3)A`CORO ® CERTIFICATE OF LIABILITY INSURANCE ATE D01/16 /DD/14 01/16/2014 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 CONTACT NAME: Melody Xreobach or Sara MCNethy PHONE , 612-333-3323 FAX 612-373-7270 AIC No: Hays Companies E-MAIL mkroabeehmhn sc aniee.com ADDRESS: Y omP 80 South 8th Street INSURERS AFFORDING COVERAGE NAIL# Suite 700 Minneapolis, MN 55402 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED ,r, /1 f�� INSURER B: SENTINRL INS CO LTD 11000 INSURERC: HARTFORD CAS INS CO 29424 Hays Companies LJ'1.ITJ1 2 INSURER D: HARTFORD ACCIDENT a IND CO 22357 80 South 8th Street, Suite 700 INSURER E: HARTFORD FIRS IN CO 19682 Minneapolis, MN 55402 INSURER F: COVERAGES CFRTIFICATF NILMRFR- 38191505 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. Wait INSRLYN TYPE OF INSURANCE DOL INSR SUB POLICY NUMBER PMILDY� MMIDDIYYYY LOUTS A GENERAL LIABILITY 41UUNKW8239 01/19/1 01/19/15 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRE MISS Es oxatmencen $ 1,000,000 MED EXP Any ma perm $ 10,000 CLAIMS -MADE IX I OCCUR PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2.000,000 $ -il POLICY PRP LOC S AUTOMOBILE LIABILITY 43UONXN8239 COMBINED SINGLE LIMIT 1, 000, 000 BODILY INJURY (Per perm) S X ANY AUTO BODILY INJURY (Per accident) III ALL OWNED SCHEDULED AUTOS OS OWNED X HIREDAUTOS X AUTOS PROPERTY DAMAGE Per ectldent S $ X COMP/LOLL C X UMBRELLA LIAB X OCCUR 41XRVM5423 01/19/1 01/19/35 EACH OCCURRENCE $ 20, 000, 000 AGGREGATE $ 20,000,OOO EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION$ 10, 000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERJEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA 41WIMP7463 01/19/1 01/19/15 OTH- XITURYTLAUNT-1 I FR E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE S 1,000,000 EL DISEASE - POLICY LIMB S 1,000,000 yes, descime under Me DESCRIPTION OF OPERATIONS below S Property 41U MRW0239 01 19 1 01/19/15 Property 5, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ANaob ACORD III Additional Remarks Schedule, i1 mare apace a rpulrM) The City, its officers, agents and employees shall be named as additional insureds on the general liability and automobile liability policies, where required by writen contract. C ERTIF!CATF 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 USA © 1988-2010 ACORD CORPORATION. All rights reserveci. ACORO 25 (2010105) The ACORD name and logo are registered marks of ACORD smcwethy