HomeMy WebLinkAboutSQUIRE PATTON BOGGS LLP - INSURANCE CERTIFICATEACORO
Lam" ® CERTIFICATE OF LIABILITY INSURANCE
DATE YYYY)
mrosnola
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 endorsemengs).
PRODUCER
Marsh USA Inc.
216.937.1700
CONTACT
NAME:
FAX
IAJC. AD No:
E-MAIL
ADDRE :
200 Public Square
Suite 1000
Cleveland, OH 44114
J39088-dnu"Cas-13A,t
INSURE S AFFORDING COVERAGE
NAIC Y
INSURER A: National Union File Insurance Co. of Pittsburgh, Pa
19445
INSUREDSQUIREPATTON BOGGS (US) LLP
SQUIRE PATTON BOGGS (UK) LLP
INSURER B : WA
WA
INSURER c : Insurance Company Of The State Of PA
19429
INSURER D: Commerce And Industry Ins Co
19410
ADMINISTRATIVE CENTER
1500 WEST 3RD STREET, STE 450
CLEVELAND, OH 44113.1408
INSURER E:
NSURER F:
COVERAGES CERTIFICATE NUMBER: CLE-00410976"3 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.
INSR
LTR
OF INSURANCE
AODLTYPE
Jum
SUBR
POLICY NUMBER
MMDDIYYYY
MM /DD/YYYY
UNITS
A
GENERAL LIABILITY
XDAMAGE
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE MOCCUR
GL 7219312
12/3112013
12/3112014
EACH OCCURRENCE
$ 1,000,000
TO RENTED
PREMISES(Ea occurrence
$ 1,000,000
MED EXP(Any one person)
$ 10,0()0
PERSONAL S ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
S 2,000,000
GENL AGGREGATE
X POLICY
LIMIT APPLIES PER:
PRO- LOC
PRODUCTS - COMP/OP AGO
It 2,000,000
$
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
X AUTOS AUTOS
X NON -OWNED
HIRED AUTOS AUTOS
CA 9834120
12131/2013
-
12/3112014
COMBINED SINGLE LIMIT
Ea acccent
1,000,000
BODILY INJURY (Per Person)
$
BODILY INJURY (Per aoadem)
$
PROPERTY DAMAGE
Peracrident
$
HIRED COMP/COLL
$ 1,000
D
X
UMBRELLA LIM 1
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
BE 020749326
12/3112013
12/3112014
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
DED I X I RETENTION$ 10,000
$
C
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N
OFFICER/MEMBER EXCLUDED? E
(Mandatory In NH)
If yee. dewme under
DESCRIPTION OF OPERATIONS Eel.
NIA
WC 025842870 (ADS)
WC 025842871 CA
( )
1273112013
12/31/2013
12/31/2014
1213112014
XWC STATU- OTH-
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE-EAEMPLOYE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space Is required)
The City of Fort Collins, Colorado,
A Municipal Corporation
P.O. 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.
Polly C. Furey
riahts reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD