HomeMy WebLinkAbout502890 IBI GROUP US - INSURANCE CERTIFICATEClient#: 47645
IBIGROUP
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(NSIIODNYYY)
1/08/2015
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 pollcy(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
CONTACT Certificate Desk
NAME:
HUB International New England
PHONE
Eel: 978 657.5100 866 475-7959
AN: No AIC No:
299 Ballardvale St
ADORIEss: nee.certificates@hubinternailonal.com
MA 01887
978 657-5100
INSURERS AFFORDING COVERAGE
NAICr
INSURER A: See Page 2
see pg 2
INSURED
IBI GROUP US
INSURER B :
1401 17th St, Ste 610
INSURER C :
Denver, CO 80202
lasuRER 0:
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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.
LTRR
TYPE OF INSURANCE
ADDLSUB
POLICY NUMBER
POLICY EFF
JMM,cONYYYI
POLICY EXP
(MIWOONYYY)LIMIT
GENERAL LIABILITY
EACH OCCURRENCE
E
PREMISES Ee%NTE.D ce
$
COMMERCIAL GENERAL LIABILITY
MED EXP(A, one rson)
$
CLAIMS -MADE DOCCUR
PERSONAL B ADV INJURY
$
GENERAL AGGREGATE
$
GEN-L AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMPIOPAGG
$
POLICY
PRO- LOC
JECT
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY (Per Pereon)
$
ANY AUTO
ALL OSCHEDULED
AUUTOSS OS
AUT
BODILY INJURY Per accident
$
NON-0OMED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS UAB
CLAIMS-MAOE
DED I I RETENTIONS
$
A
WORKERS COMPENSATION
AND EMPLOYERS'LINBILITY YIN
ANY PROPRIETORIPARTNER/EXECUTNE
OFFICERIMEMBER EXCLUDED?
NIA
OSWEEG7293
1/13/2015
01/13/201
X we srATu- OTw
E.L. FACM ACCIDENT
E1 OOO OOO
E.L. DISEASE- EA EMPLOYEE
$1 OOO OOO
(Mandatory In NH)
B yee, descni a under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlech ACORD 1e1, AEEIUonal Remarks Schedule, If more .Pace N "u1ed)
Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or
Permit, and where permitted by Law. Endorsement WC990394 Blanket Notice of Cancellation to Certificate
Holders.
(See Attached Descriptions)
City of Fort Collins
Attn: Purchasing Dept.
P.O. Box 580
Fort Collins, CO 80522-0000
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
ACORD 25 (2010/05) 1 of 2
#51292717/M1271320
W 7SSS-ZU7U AGOKU GORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CW001