The URL can be used to link to this page

Home My WebLink About489486 TUV RHELNLAND NORTH AMERICA HOLDING INC - INSURANCE CERTIFICATETUVRHEI-03 LTELLER ,�a`coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYV) 1/s/zola 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 Rose 6 Kiernan, Inc. Lee Farm Corporate Park 83 Wooster Heights Danbury, CT 06810 CONTACT NAME: PHON o 203 702-4700 4214 (Ax No: 203 702-4759 EMAIL ADDRESS: INSURE S AFFORDING COVERAGE NAICN - INSURER A:Allianz Global Corp& Spec NA INSURED VSir 9 4 g INSURER B: Travelers Property Casualty Company of America 25674 INSURER C: TUV Rheinland North America Holding, Inc. INSURER D: 1300 Massachusetts Ave Ste 103 INSURER E Boxborough, MA 01719 INSURER F: 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 LTR TYPE OF INSURANCE AVOLSUmn POLICY NUMBER MMADDY� MM� E%P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Es occurrence $ 100,00 A X COMMERCIAL GENERAL LIABILITY CGL2004785 1/1/2014 1/1/2015 CLAIMS -MADE 7x OCCUR MED EXP(Any am Person) $ 5,00 PERSONAL$ ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGO S 2,000,00 S POLICY PRO- LOC AUTOMOBILE LIABILITY Ea accidentntt) E LIMIT $ towoli BODILY INJURY (Per person) $ B X ANY AUTO P8103343P614TIL13 -. .. 1/1/2014 1/1/2015 ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED BODILY INJURY (Per accident) $ P a rI $ S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE S 4,000,00 A EXCESS LAB CLAIMS -MADE ULA2004786 111/2014 1/1/2016 DED I X I RETENTION$ 330,000 $ WORKERS COMPENSATION WC STATU- OTH- B AND EMPLOYER5 LABILITY ANY PROPRIETOR/PARTNERIEXECUTIVEY 1 OFFICER/MEMBER E%CLUOEDT (Myisrdaton, In NH) NyA PJUB3280P50613 1/1/2014 1/1/2016 E.L.EACHACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1.000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 DE6Cd scribe under RIPTION OF OPERATIONS bek A Professional Llabill ACG2004787 1/1/2014 1/1/2015 Occurrence/Aggregate 5,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space is mqulmd) 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 contractlagreement. CFRTIFICATF H01_DFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Cityof Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 ACORD 25 (2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD