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Home My WebLink About404702 COPLOGIC INC - INSURANCE CERTIFICATE (2)�1 ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYV) 011122015 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 endorsemenr PRODUCER Aon Risk services Northeast, Inc. Boston MA Office COW I NAMEAC (866) 283-7122 FAX (800) 363-0105 (AIC. Ne. eaq: ac. No.: EJNJL ADDRESS: one Federal Street Boston MA 02110 USA _ INSURERS) AFFORDING COVERAGE NAICe INSURED INSURER A: Zurich American Ins Co 27855 Copl Ogic, a Reed Elsevier Company 231 Market Place suite market suite INSURER B: ACE American Insurance Company 22667 INSURER C: Lloyd's Syndicate No. 2987 AA1128987 San Ramon C 94583 USA IN RE D: 2u rich Insurance Plc 0855FI INSURER E.Lloyd's Syndicate No. 2623 AA1128623 INSURER F: COVERAGES CERTIFICATE NUMBER: 570056580131 REVISION NUMBER: 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBERPOLICYFFF PVUCYEXP M LIMITS B X COMMERCIAL GENERAL LIABILRY OGLG EACH OCCURRENCE $1,000,000 CLAIMSMADE X❑OCCUR PREMISES Eeo r,enm $1, 000, 000 MED EXP(Mr.. Person) 55,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑JPET ❑LOC PRODUCTS -COW10PAGG S2,000,000 OTHER: A ALIGMOBILE LIABILItt BAP 8376848 16 01/01/201501/01/2016 COMBINED SINGLE LIMIT $1,000,000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per salon) ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON-0WNED AUTOS PROPERtt DAMAGE Per erndenl D UMBREL-UAB X OCCUR W51500043 01/01/2015 12/31/2 115 EACH OCCURRENCE $5,000,000 X EXCESSLIAB CLAIMS -MADE AGGREGATE $5,000,000 DED RETENTION A A WORKERS COMPENSATION AND EMPLOYERS' UARILITY YIN ANY PROPRIETOR/PARTNER/E%ECUrNE OFFICERAEMBER EACLUDE% � (Mandalay In NM NIA WC837684516 EW5203805717 OH 01/01/2015 01/01/2015 01 O1 2 16 01/01/2016 X I PER DTH- STATV, E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 ny deec,de under DESCRIPTION OF OPERATIONS 6nlose E.L. DISEASEYOLICY LIMIT $1,000,000 E E8(O-PL-Primary QK1504205 01/01/2015 12/31/2015 Aggregate S3,000,000 ' SIR applies per policy terns & condi ions Per Occurrence S1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addleorul Remarks SClMdub, may 6e.etched It mere eWp Ia r"w,ad) city of Fort Collins is added as additional insured on the General Liability subject to the policy limitations, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SI ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRH THE POLICY PROVISIONS. City Of Fort Collins 300 LaPorte Ave AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 USA e4 ✓LaN:V GGEfA1YHV//LLrfd�e/sXl 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Ivr 0 2 m u C 1: m O AGENCY CUSTOMER ID: 570000055869 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Northeast, Inc. NAMED INSURED coplogic, a Reed Elsevier Company POLICY NUMBER See Certificate Number: 570056580131 CARRIER See Certificate Number: 570056580131 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. RSR LTR TYPE OF INSURANCE ADDL IKSD SUBR wYD POLICY NUMBER POLICY EMCIrrvE DATE MMMD/YY POLICY EXPIRATION DATE MM/DDn'Yl')' LIMITS OTHER C Cyber Liability MEDTE140049015507 Internet Liability O1/01/2015 01 01 2016 Aggregate $1,000,000 ACORD 101 (2008101) ® 2000 ACORD CORPORATION. All rights reser,md. Tha ACORD name and logo are registered marks of ACORD