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HomeMy WebLinkAboutCARRIER CORPORATION - INSURANCE CERTIFICATE (7)4549 ® Ac R CERTIFICATE OF LIABILITY INSURANCE DAT3/21l2015 /DDYYYV) 0/21 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 CONTACT NAME: MARSH USA INC. PHONE FAX 20 CHURCH STREET LAIC No.Est1: _ (AIC. No): HARTFORD, CT 06103 E-MAIL__ INSURER A :Hartford Fire Insurance INSURED CARRIER CORPORATION ONE CARRIER PLACE FARMINGTON, CT 06034-4015 COVERAGES CERTIFICATE NUMBER:E6TK4WY3 REVISION NUMBER: NAIC p 19682 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 I rypE OF INSURANCE A I POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 02CSET10D04 04/01/2015 04/01/2016 EACH OCCURRENCE $ 1,000,000 X PREMISES Ea ocwnence $ 300,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR $2,000,000 general aaggg9reggate per location/project $10,000,000 policy MED EXP(Any one person) IS 10,000 general aggregate PERSONAL & ADV INJURY $ 1.000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY PRO- LOC $ A AUTOMOBILE LIABILITY 02CSET10000(A/0) 02CSET10019(HI) 04/0112015 04/01/2016 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO Hartford Underwriters Ins ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS A X UMBRELLA LIAB X OCCUR 02HUT10021 04101/2015 04/01/2016 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER(EXECUTIVE OFFICER/MEMBER EXCLUDED9 N� (Mandatory in NH) NIA CTWC(SIR2.5MM)EXCOV-9883956 MULTI-017731557, MULTI-017731558, CA-017731559, FL-017731560, MULTI-017731561, MA-017731562, MN-017731563, 04/01/2015 04/01/2016 X WC SLATU- OTH- TORY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000.000 It yes describe under DESCRIPTION OF OPERATIONS below NJ-017731564, PA-017731565, MULTI-017731566 E.L. DISEASE - POLICY LIMIT $ 1,000,000 $ $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CONTRACTORS LICENSE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS AUTHORIZED REPRESENTATIVE F O. BOX 580� FORT COLLINS, CO 80522 Page 1 of 1 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD