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HomeMy WebLinkAboutCARRIER CORPORATION - INSURANCE CERTIFICATE (6)43355 CERTIFICATE OF LIABILITY INSURANCE I DA03/22TE /2014 03/2212014 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 endomementls). PRODUCER MARSH USA INC. 20 CHURCH STREET HARTFORD, CT 06103 INSURED CARRIER CORPORATION ONE CARRIER PLACE FARMINGTON, CT 06034-4015 COVERAGES CERTIFICATE NUMBER:MR67DSGK REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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, IN TYPETYPE OF INSURANCE POLICY NUMBER POLICYMEFF M OCYD/Y VPY LIMITS A GENERAL LIABILITY 02GSET10004 04/01/2014 041OW015 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR $2,000,000 general aggggrreBggate per location/project $10,000,000 policy general aggregate DAMAGE 10 PREMISES H NILUoocumnce $ 300,000 MED EXP(Any one person) $ 10,000 PERSONALSADVINJURY S 1'000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 17 POLICY 7 PRO- F7 JECTLOCI I $ A AUTOMOBILE LIABILm ANY AUTO 02CSETI DODO (A/O) 2CSET10019 (HI) Hartford Underwdters Ins 04/01/201 04/01/2015 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS AUTOS 1S BODILY INJURY (Far amMenO $ HIRED AUTOS NON-ONMED AUTOS PROPERTY DAMAGE r sccidant $ A X UMBRELLA UAB X OCCUR 02HUT10021 04/01/2014 04/01/2015 EACH OCCURRENCE $ 10.000,000 AGGREGATE S 10,000,000 EXCESS LIAB CLAIMS -MADE DEO I I RETENTION$ S 8 C . WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN My PROPRIETORPARTNERIEXECUTIVE OFFICERAtEMBER EXCLUDED? FN]NIA Olandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS beloav CTWC(SIR2.5MM)EXCOV-0636273 CA-019901481 FL-019901482 NJ-019901483 MULTI-019901484 MULTI-019901485 MA-019901486 MN-019901487 MULTI-019901488 PA-019901489 MULTI-019901490 04/01/2014 04/01/2015 X I WC$TAU- I JOTH' fills ES E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEEI S 1,000.000 E.L. DISEASE - POLICY LIMIT I i 1 000 000 S S $ S DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is r.,Wrod) CONTRACTORS LICENSE CtKI IF IUAf E HULUEK CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS AUTHORIZED REPRESENTATIVE P.O. FORTT COLLINS,COLLICO 80522 _ ��� 1. 4 W �yf Page 1 or 1 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 41893 CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YVYV) 03/2212014 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(sl. PRODUCER MARSH USA INC. 20 CHURCH STREET HARTFORD, CT 06103 INSURED CARRIER CORPORATION ONE CARRIER PLACE FARMINGTON, CT 06034-4015 COVERAGES CERTIFICATE NUMBER:LJ2JTYAJ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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. IO R OR TYPE OF INSURANCE ADDLISUOR POUCY NUMBER MMIDDY EFF MWOONEYrr UMW A GENERAL LIABRITY 02CSET10004 04/01/2014 04/01/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE M PREMISES RENTED nc S 300,0D0 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR $2,000.000 general pgggjregate pper location/project $1U.000'M policy NED EXP(An one person) $ 10 000 general aggregate PERSONAL SAW INJURY $ 1,000.000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 17 POLICY LOC I F7 PRO- $ A Aurroa BILE LIABILITY 02GSET10000 (A/O) 02CSET10019 (HI) D4/01/2014 04/01/2015COMBINED Ee accident 1'000.000 X BODILY INJURY (Par person) S ANY AUTO Hartford Underwriters Ins ALL OWNED SCHEDULED AUTOS AUTOS 1AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMA E Per accident f HIRED AUTOS NON -OWNED E UMBREr r a LIAR OCCUR EACH OCCURRENCE S AGGREGATE E EXCESS UAB CLAIMSaADE DED I I RETENTIONS E B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERMIEMBER E%CLUDED? N� (Mandabry in NH) NIA CTWC(SIR2.5MM)EXC0V-6636273 CA-019901481 FL-019901482 NJ-019901483 MULTI.019901484 MULTI-019901485 MA-01990148E MN-019901487 MULTI-0199014W 04/01/2014 04/01/2015 X WCSTATU- OTH• LIM E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If gee, tleeaibe under DESCRIPTION OF OPERATIONS below PA-019901489 MULTI-019901490 E.L. DISEASE - POLICY UMIT $ 1 000 OW S f S f DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Contractors License. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITHTHE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE PO Box 580 G/ Fort Collins, CO 80522 Page 1 of 1 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD