HomeMy WebLinkAbout582114 VECTOR DISEASE CONTROL INTERNATIONAL LLC - INSURANCE CERTIFICATEPs2ax128-2
cDATE
AE �IxU CERTIFICATE OF LIABILITY INSURANCE 09/05/12018vv1
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 have ADDITIONAL INSURED provisions or 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 1-404-439-8000 CONTACT NAME_: Certificates Atlanta
Integro USA Inc. PHONE FAX
dba Integro Insurance Brokers LAJC.Ns.Eatl, 404-439-8000 INC, q�404-439-80A1
E-MAIL CertificatesAtlentaBinte r ou cam
200 Glenridge Point Parkway ADDRESS: 4 04r D•
Suite 400 _ INSURER@) AFFORDING COVERAGE NAIC0
Atlanta, GA 30342 INSURER A: ACE AMR INS CO 22667
INSURED INSURER8: OLD REPUBLIC INS CO 24147
VECTOR DISEASE CONTROL INTERNATIONAL, LLC ACE PROP & CAS INS CO 20699
RENTOKIL NORTH AMERICA, INC. (REN461) INSURERC:
1320 BROOKWOOD DR. STE H INSURERO: AI'I'IANZ UNDERWRITERS INS CO _ _ 36420
E:
'LITTLE ROCK, AR 72202-1412 (INSURER F: I (
rfIVFRAr;FS rFRTIFIrATF NIIMRFR• 53868290 RFVISION Nt]MRFR-
THIS IS TO CERTIFY THAT fHE 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 ADDL SUER POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCEJKK POLICY NUMBER MWDO/YYYY MWDDIYYYY
A
X
COMMERCIAL GENERAL LIABILITY
OGLG27240331
10/01/18
10/01/19
EACH OCCURRENCE
= 5,000,000
--1
CLAIMS -MADE X OCCUR
DAMA6ETORENTED
PREMISES Ea occurrence
= 5,000,000
MED EXP (Any one person)
: 5,000
_
PERSONAL & ADV INJURY
$ 5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 5,000,000
X POLICY a , El LOC
PRODUCTS - COMP/OP AGG
= 5,000,000
_
OTHER:
B
AUTOMOBILELIASKM
_
MWTB314124
10/01/18
10/01/19
COMBINED SINGLE LIMIT
Ea. accident
= 2,000,000
BODILY INJURY (Per person)
$
Y ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accident
$
$
C
X
UMBRELLALIAS
X
OCCUR
XOOG27239420
10/01/18
10/01/19
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
EXCESSLWB
CLAIMS -MADE
DED RETENTION$ 10,000
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE a
OFFICER/MEMBEREXCLUDED7
(Mandatory in NH)
NIA
MWC314123
10/O1/18
10/O1/19
X STATUTE F12H
E.L. EACH ACCIDENT
{ 2,000,000
E.L. DISEASE - EA EMPLOYEE
$ 2,00 000
E.L. DISEASE - POLICY LIMIT
E 2,000,000
It yes, describe under
DESCRIPTION OF OPERATIONS below
D
Contractors Pollution
U51L00010318
04/01/18
10/01/19
EachIncident/Agg
5,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
City of Fort Collins, its officers, agents and employees, to the extent required by written contract, are additional
insured on a primary and non-contributory basis. 30 day notice of cancellation, except 10 days for non-payment of
premium, applies to the extent required by written contract.
rFATIPur ATF wni t1FR rANrFI I ATInN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO BOX 580
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522
USA
g
V 1988-2U15 AGUKD CUKPOKA I IUN. All rignt5 reServea.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Keisha.McDonald@integrogroup.cou_ATL
53868290
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