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HomeMy WebLinkAboutSQUIRE PATTON BOGGS LLP - INSURANCE CERTIFICATE (2)AC<>RD ® CERTIFICATE OF LIABILITY INSURANCE �,- DnID/YYYY) 121290 2129Y2014 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. 216.937.1700 200 Public Square Suite 1000 Cleveland, OH 441A J39088-Ca 14-15 CONTACT NAME: PHONE FAX IAJC No Exfi (MC.No: EUDRIESS: INSURERS AFFORDING COVERAGE NAIC p INSURER A : Nabonal Union Fire Insurance Co. of Pittsburgh, Pa 1995 INSUREDSQUIREPATTON BOGGS (US) LLP SQUIRE PATTON BOGGS (UK) LLP ADMINISTRATIVE CENTER 1500 WEST 3RD STREET, STE 450 INSURER B ; Insurance Compalry Of The State Of PA 19429 INSURER C : Commerce And Industry Ins Cc 19410 INSURER D: NIA NIA CLEVELAND, OH 44113-1408 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-004109761-05 REVISION NUMBER:I 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 MMIDDIYYYY POLICY EXP MM/DD/YYff LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE MOCCUR GL 7219312 12131/2014 1213112015 EACH OCCURRENCE $ 1,000,000 DAMA ET RENTED PREMISES Ea accun.. 1000000 $ MED EXP IAny me person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE X POLICY LIMIT APPLIES PER: PRO- LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS CA 9834120 1213112014 12131/2015 CEOMB DI SINGLE LIMIT 1,000,000 BODILY INJURY (Per Person) $ BODILY INJURY (Per accitlerd) S PROPERTY DAMAGE Peraccident $ HIRED COMPICOLL $ 1,000 C X UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE BE 023812065 1213112014 1213112015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEO I X I RETENTION$ 101000 $ B A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTWE� OFFICERIMEMBER E%CLUDE07 (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N/A WC 025842870 (ADS) WC 025842871 ( CA) 12/31/2014 11/3112014 12/3112015 1213112015 WC STATU- ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE 1,000,000 $ E.L. DISEASE -POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Mach ACORD 101, Additional Remarks Schedule, If mom apace la required) The City of Fort Collins, Colorado, A Municipal Corporation P.O. Box 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. Polly C. Furey 43uy- e- _A..- ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD