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HomeMy WebLinkAbout269570 US BANK NA - INSURANCE CERTIFICATEA� n® CERTIFICATE OF LIABILITY INSURANCE UATEIMAlD°""""' OBIO4f2014 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