HomeMy WebLinkAbout269570 US BANK NA - INSURANCE CERTIFICATEA� n® CERTIFICATE OF LIABILITY INSURANCE
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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 terns 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.
333 SOUdI 7th Street BURe 1400
CONTACT
NAME:
PHONE I
A/C No);
EMAIL
ADDRESS,
Mnne"is, MN 55402-2400
INSURERS AFFORDING COVERAGE
NAIC $
INSURERA:
J18190-STND$25M14-15
INSURED
U.S. BANCORP AND ITS SUBSIDIARIES
INSURER B :
INSURER c
200 S. 61h STREET
INSURER D
EP-WL201
MINNEAPOLIS, MN 55402
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: CHI-004962584-02 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
DL
B
POLICY NUMBER
POLICY
rAYY
M/DO/YYYY
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F—IOCCUR
EACH OCCURRENCE
$
DMAGE TO RENTED
PREMISE Ea ooc menoel
$
MED EXP (Any one Person)
$
PERSONAL B ADV INJURY
$
GENERAL AGGREGATE
$
GEN'L AGGREGATE
1-1 POLICY
LIMIT APPLIES PER;
PRO- LOC
PRODUCTS-COMPIOP AGG
$
$
MOBILELUV$IDTY
SCHEDULED
OSAUTOS
IRED AUTOS NON -OWNED
AUTOS
COMBINEDSINGLE LIMITEacdtl 1AUTOBODILY
INJURY(Per person)
$
FrAOMED
BODILY INJURY(Per ac ent)
$
PROPERTYDAMAGE
Per emidenl
$
E
UMBRELLA LIAR
EXCESS LIAR
CLAIMS- OE
EACH OCCURRENCE
$
HOCCUR
AGGREGATE
$
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N
(Mandatory in NH)
n yes tles slue u,Mar
DESCRIPTION OF OPERATIONS b 10.
NIA
VJC STATU- I OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE -EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
ERRORS 8 OMISSIONS
FI BOND (CRIME)
See Additional Page
See Additional Page
Limit: $25,000,OD0
Limit: $25.000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AWIUomd Remarks Scl odule, If more apace Is requlfad)
City of Fat Collins
Attn: Jerry Groves
215 N. Mason Street, 2nd Flax
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.
Manashi Mukherlee
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: J18190
LOC #: Minneapolis
ACC> OR ® ADDITIONAL REMARKS SCHEDULE
Lam'
Page 2 of 2
AGENCY
NAMED INSURED
Marsh USA Inc.
U.S. BANCORP AND ITS SUBSIDIARIES
200 S. 61h STREET
EP-MN-L201
POLICY NUMBER
MINNEAPOLIS, MN 5M02
CARRIER
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
ERRORS & OMISSIONS
Carrier. Indian Harbor Insurance Company
Policy Number: ELU135216-14F
Policy Tenn: 08/0112014 - 0810112015
Carrier. D02110300 -
Policy Number. Ironshore Specialty Insurance Company
Policy Tenn: 0810112014 - 081012015
FI BOND (FIDELITY/CRIME)
Carrier: Indian Harbor Insurance Company
Policy Number ELU135216-14G
Policy Tenn: 081012014 - ON12015
Cartier: Imnshole Specially Insurance Company
Policy Number: 002109500
Policy Term: OB/012014 - 001/2015
GDYffP111 aUill
0 200R ACORD CORPORATION_ All rinhta rasarvarl
The ACORD name and logo are registered marks of ACORD