HomeMy WebLinkAbout454230 MCGLADREY LLP - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE
DATDDYYW)
01112120122015
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: N 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 Inc.
2405 Grand Douleyard, #900
CONTACT
NAME:
,____
PHONE FAC No
E-MAIL
ADDRESS:
Kansas City, MO 641D8
INSURE S AFFORDING COVERAGE
NAIC $
INSURER A: Santry Insurance A Mutual Company
24988
824056--GAWUP-14.15 1-12-1 Eastma
INSURED
One Sorey LLP
One IM Wacker Drive, Suite 800
INSURER B : Federal Insurance Company
20281
INSURER c : Liberty Mutual Fire Insurance Company
23035
Chicago, IL 60606
INSURER D : Sentry Casualty Company
28460
NSURER E
NSURER F:
COVERAGES CERTIFICATE NUMBER: CHI-005088797-01 REVISION NUMBER:1
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 LSUBR
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EIIP
MMmD
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE M OCCUR
90-18524-04
11/30/2014
11/3012015
EACH OCCURRENCE
$ 1,000,000
DAMAGE T
PREMISES REffTEa -DD
$ 1,000,000
MED EXP (Any mePerson)
$ 10,000
PERSONAL S ADV INJURY
f 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE
X POLICY
LIMIT APPLIES PER:
JECT 1-1 PRO- LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
A
A
AUTOMOBILE
LIABILITY
ANV AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS P AUTOS
W18524.05 (AOS)
90-18524-06(MA)
11/3012014
11/30I2014
11/3012015
11/30/2015
COMBINED SINGLE LIMIT
. a ,cciien!
1000000
X
BODILY INJURY (Pe' person)
$
BODILY INJURY Par accident
( )
$
X
PROPERTY DAMAGE
Per accident
f
f
B
X
UMBRELLA LNB
EXCESS
X
OCCUR
CLAIMS -MADE
9364-18-93
11/30/2014
11/30/2015
EACH OCCURRENCE
$ S,OOQ000
AGGREGATE
$ 5,000,D00
DIED RETENTIONf
7
$
A
D
WORKERS COMPENSATION
AND EMPLOYERS' LUIBILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED? �
(Mandatory In NHt
If yes. describe under
DESCRIPTION OF OPERATIONS below
NIA
90-18524-01 (ADS)
90-18524-02 (WI)
111302014
11/30F2014
11MI2015
11/30I2015
xvvc STATU- oTH-
E.L. EACH ACCIDENT
$ 1,000,000
E. L. DISEASE -EA EMPLOYE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
C
Property
YU2-1-91-4160316-014
11/30/2014
11/302015
Blanket Limit 1.000.000
Deductible: SEE ATTACHED
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space Is required)
City of Fort Collins, Colorado
215 N. Mason Street, 2nd Floor, PO Bar 580
Fat 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.
Keith A. Stiles dG*4r-- 14r_�
®1988-2010 ACORD CORPORATION. All riahts
ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD