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HomeMy WebLinkAbout454230 MCGLADREY LLP - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDNWY) 1112612014 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 s). PRODUCER Marsh USA Inc. 2405 Grand Boulevard, #900 CONTACT NAME: PHONE FAX INC No Fall -AC No: ADDRESS: Kansas City, MO 64108 INSURER $ AFFORDING COVERAGE NAIC If INSURER A, Sentry Insurance A Mutual Company 24988 824056-GAWU-14-15 102813 REastm INSURED One Southadrq LLP One aM Wacker Drive, Suite 800 INSURER B : Federal Insurance Company 20281 INSURER c :Sentry Casualty Company 28460 INSURER D Chicago, IL 60606 INSURER E : INSURER F COVE CIES CFRTIFICATF NIIMRFR: CHI.004781909.05 REVISION NUMBER:9 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 ADDL UBR POLICY NUMBER POLICY EFF MM/DDIy'YYY) POLICY EXP IMMIDDMYYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIM$lMDE 1XI OCCUR 9g-18524-04 11/3012014 11130/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES His occurrence 1,000,000 $ MED EXP(Any we ) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE X I POLICY LIMIT APPLIES PER: PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ A A AUTOMOBILE LIABILITY X ANY AUTO ALLONNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS 90-18524-05 (ADS) 90-18524-06(MA) 11/3012014 1113012014 11/30/2015 11/3012015 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA IJAB EXCESS LU1B X OCCUR CLAIMS -MADE 9364-18-93 11130/2014 11/3012015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTIONS $ A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/FJ(EcurrvE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) U yes, describe under DESCRIPTION OF OPERATIONS bola« NIA 90-18524-01(ADS) 90-18524-02(WI) 1113012014 11130/2014 11/3012015 11/30/2015 X I WC STATU- OTH- FR EL. EACH ACCIDENT . $ 1,000,000 E.L. DISEASE - EA EMPLOYE S 1,000.000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Romans Schedule, If more space is required) The Gly of Fort Collins, its officers, agents and employees are included as additional insured where required a' written Contract with respect to general and auto liabilities for 7516 Audit Services. CERTIFICATE HOLDER CANCELLATION City of Fort Collins- Gerry Paul SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 N. Mason Street, 2nd Floor, PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Keith A. Stiles ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD