HomeMy WebLinkAbout326757 CENVEO INC - INSURANCE CERTIFICATE (2)ACOROf CERTIFICATE OF LIABILITY INSURANCE
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°10/0112200114DryYYY)
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 endorsements .
PRODUCER
Marsh USA, In.
1166 Avenue of the Americas
CONTACT
NAME:
I NC. N AIC No):
E-MAIL
pODRESS,
New York, NY 10036
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A, Twin City Fire Insurance Go
29459
010191-CAS-13-14
INSURED
Cwveo, Inc.
200 First Stamford Place
INSURER B: HanInsurance Hartford Fire Co
19682
INSURER C : Hartford Underwriters Insurance Company
30104
INSURER D : Amencan Guarantee 8 Liability Ins Go
26247
2nd Fbor
Stamford, CT 06902
INSURER E Trumbull Insurance Company
27120
INSURER F
COVERAGES CERTIFICATE NUMBER: NYC-006620601-07 REVISION NUMBER:6
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
A DL
U
POLICY NUMBER
MMNDY
/YYYY
MMIDD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CIAIMSIMDE M OCCUR
10 ECS S12510
10101 014
1010112015
EACH OCCURRENCE
$ 2,500,000
PREMISES Ea occurrence)
$ 2,500,000
MED EXP (Any oneperson)
If
PERSONAL a ADV INJURY
$ 2,500,000
GENERAL AGGREGATE
$ 2,500,000
GENT AGGREGATE LIMIT APPLIES PER
X POLICY PRO LOC
PRODUCTS-COMPIOP AGO
$ 2,500,000
SIR
$ 500,000
B
C
B
AUTOMOBILE LIABILITY
X ANY AUTO I
ALL OWNED SCHEDULED
AUTOS AUTOS
NON-OVMED
HIRED AUTOS AUTOS
10 CSE S12512 (ADS)
10 CSE S12513 (HI)
10 CSE S12514 (CN)
10101120R
10/012014
10101/2014
10101/2015
10/01/2015
10/01/2015
COMBINED SINGLE LIMIT
Ea accident
3,000,000
BODILY INJURY (Per perwn)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
S
$
D
X
UMBRELLA LAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
AUC 9301349-13
10/01/2014
101012015
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
DIED RETENTION$
$
E
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/NA ANY PROPRIETORIPARTNERrEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, deconbe under
DESCRIPTION OF OPERATIONS below
N / A
10 WN S12508 (ADS)
10 WBR SI2509 (WI)
10/01/2014
10/0112014
101012015
10/012015
H-
X I vvc STATU- OTH
E.L. EACH ACCIDENT
1,000,000
$
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1ANach ACORD 101, addlUonal Remarks Schedule, If mom space Is required)
THE CITY OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS' COMPENSATION) WHERE REQUIRED BY WRITTEN
CONTRACT.
CITY OF FORT COLLINS
PURCHASING DIVISION
ATTN: DAVID CAREY CPPB BUYER
215 NORTH MASON 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.
Thomas J. Edridge /ie-wwy 6L • �
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD