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454230 MAGLADREY LLP - INSURANCE CERTIFICATE
CERTIFICATE OF LIABILITY INSURANCE 1 °11f27p;3°nvYY, 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 endomement(s). PRODUCER Marsh USA Inc. 2405 Grand Boulevard, #900 Kansas City, MO 64108 824056-GAWUP-13,14 INSURED McGladrey LLP ��3� One South Wacker Drive, Suite 800 Chicago, IL 60606 COVERAGES CERTIFICATE NUMBER: CHI-004344476-05 REVISION NUMBER:I 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. WSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER PO/ ICY YFF POLICY EXP LIMITS A GENERAL LIABILITY 90.18524-04 11/3012013 11130/2014 EACH OCCURRENCE s 1.000,000 PREMISES $ i'000'000 X COMMERCVLL GENERAL LIABILITY CLAIMS -MADE M OCCUR MED EXP one $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP ADD $ 2,000,000 $ PRO- LOC X POLICY JFCT A AUTOMOBILE LIABILITY 90-185205(ADS) 11/3012013 11/3012014 COMBINED SINGLELIMITfEaaCCKIWI $ 1000000 A X ANY AUTO 90-18524U6 (MA) 11/3012013 11/30/2014 BODILY INJURY (Per person) S ALL 01ANED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE $ X % NON-OVVNED HIRED AUTOS AUTOS $ B X UMBRELLA LJAB X OCCUR 9364-18.93 1113012013 11/3W2014 EACH OCCURRENCE $ 5,004000 AGGREGATE $ 5.000AW EXCESS LJAB CLAIMS -MADE DED I IRETENTIONS $ A WORKERS COMPENSATION 1 1 (ADS) 11 13 11IMM14 X I wC STATU- OTH- I TOR LIMITS D AND EMPLOYERS- LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? F—N] (Mandatory in NH) NIA W18524-02(WI) 11130/2013 111307114 EL. EACH ACCIDENT $ 1,000.000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Property YU2-L9L-460316-013 1113012013 1113012014 Bill "Unt 1,000,000 Deductible: 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space is required) City of Fort Collins, Colorado is named as Additional Insured if required to be so by writer contract. Coverage mown is primary and noncontributory if required to be so by writer contract. Waiver of Subrogation is granted if required to be so by written contract. City of Fort Collins, Colorado Attn: James B. 0"Nell, Director of Purchasing and Risk Mgmt. 215 N. Mason Street, 2nd Floor 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. Keith A. Stiles � e- :g.�� © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 824U56 LOC #: Kansas AC R ® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY Marsh USA Inc. NAMED INSURED McGladrey LLP One South Wacker Drive, Suite 800 Chicago, IL 60606 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate Of Liability Insurance Other property deductibles may apply as per policy tens and conditions. ACORD 101 (2008/01) V 2008 ACUKU CUKPUKA I IUN. All rights reserves. The ACORD name and logo are registered marks of ACORD 11lEEMO RE: November 30, 2013/14 Certificates To Whom It May Concern: Enclosed you will find a new certificate of insurance, for your records. We request that you please review the certificate and advise if you no longer need it. If you have any changes to the fields below, return a copy of the certificate with the changes indicated and we will re -issue. Delete Certificate? Yes No Amend Certificate (Only changes to the fields below will be made.) Certificate Holder Name Attn: Street Address 1 Street Address 2 City / State / Zip Our contact information is as follows Marsh USA, Inc. Attn: McGladrey LLP Certificate Team Fax: 212-948-0015 E-mail: Kansascity.certrequest@marsh.com AFRO® CERTIFICATE OF LIABILITY INSURANCE D1TE(1201113 DNYYY) 1I27Y20 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. 2405 Grand Boulevard, #900 CONTACT NAME: INC. PHONE FAC E-MAIL Kansas City, MO 64108 INSURERS AFFORDING COVERAGE NAIC a 824056-GAWUP-13-14 102813 REastm INSURER A: Sentry Insurance A Mutual Cc 249M INSURED One SWacker Drive, Suite 800 One South adrey LLP South INSURER B : Federal Insurance Company 20281 INSURER c : Liberty Mutual Fire Insurance Company 23035 INSURER D : �^B1' CffiIIaEy Cllmpaly 28460 Chicago, IL 60606 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-004781909-03 REVISION NUMBER:8 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 TYPE OF INSURANCE ADDL U Jm POLICY NUMBER POLICY IDCY� MMID YEYP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAWS -MADE MOCCUR W18524-04 11/3012013 11/3012014 EACH OCCURRENCE $ 1,000,000 R occumance)N S 1,000,000 MED EXP one arson E 10,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER. 7PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 E A A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS 90-18524-05 (AOS) 90-18524-06 (NIA) Ilr=013 11I3012013 11M2014 1113N2014 COMBINED LIMITEs 1 000 BODILY INJURY (Per Person) $ BODILY INJURY (Per accieere) S PROPERTYDAMAGE S S B X UMORELLAUAS EXCESS � X OCCUR CLAIMS -MADE 9364-18-93 1713012013 11l3012014 EACH OCCURRENCE $ 5,000,000 AGGREGATE S 5,000,000 _ DEC) I I RETENTIONS S A D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? r7N (Mandatory In NH) 11 yes describe urWer DESCRIPTION OF OPERATIONS below NIA 90-185 1 (A S) 90-18524-02(WI) ili=13 111302013 IUM14 iV3012(114 X I VVC STATU- OTH- I TOR LIMITS E.L. EACH ACCIDENT S 1'DD0'0D0 E.L. DISEASE - EA EMPLOYE E 1'�'� E.L. DISEASE- POLICY LIMIT E 1,0D0,000 C Property YU2-L9LA60316-013 1113012013 11/3012014 Blanket Limn: 1,000,000 Deductible: 25,D00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space is required) The City of Fort Collins, its officers, agents and employees are included as additional insured where required by written contract with respect to general and auto liabilities for 7516 Audit Services. City of Fort Collins- Gerry Paul 215 N. Mason Street, 2nd Floor. PO Box 580 Fors 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. Keith A. Stiles �- drLae� 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 824056 LOC #: Kansas AGENCY Marsh USA Inc. POLICY NUMBER CARRIER ADDITIONAL REMARKS SCHEDULE Page 2 of 2 NAIC CODE THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insul Other property deductibles may apply as per policy terms and conditions. NAMED INSURED McGladrey LLP One South Wacker Drive, Suite 800 Chicago, IL 60606 EFFECTIVE DATE: © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MEMO RE: November 30, 2013/14 Certificates To Whom It May Concern: Enclosed you will find a new certificate of insurance, for your records. We request that you please review the certificate and advise if you no longer need it. If you have any changes to the fields below, return a copy of the certificate with the changes indicated and we will re -issue. Delete Certificate? Yes No Amend Certificate (Only changes to the fields below will be made.) Certificate Holder Name Attn: Street Address 1 Street Address 2 City / State / Zip Our contact information is as follows Marsh USA, Inc. Attn: McGladrey LLP Certificate Team Fax:212-948-0015 E-mail: Kansascity.certrequeS[@marsh.con]