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HomeMy WebLinkAbout556475 ZAGSTER INC - INSURANCE CERTIFICATEACERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 164� F9/12/2018 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 CON TACT NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 470 Atlantic Avenue A/c No, Ext): 617-261-6700 A/C No): 617-64 6-0400 Boston MA 02210 ADDRESS: INSURER A: Associated Industries Insurance Co, Inc 23140 INSURED ZAGSINC-01 INSURER B : Endurance American Insurance Company 10641 Zagster, Inc. INSURER c : Hartford Underwriters Insurance Company 30104 50 Milk Street Boston MA 02109 INSURER D : Hartford Accident and Incle nnitLgon1pany 22357 INSURER E: Cf1VFRAr:FS CGRTIFICATF MlIMRFA-1nR77RRAAR RFVIRION NIIMRFR- 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 DDL S VD POLICY NUMBER MMLIC/YYYF MM/ /YYPOLICY t YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FKOCCUR AES105358600 6/10/2018 9/10/2019 EACH OCCURRENCE — $1,000,000 DAMAGE RENTED PREMISES Ea occurrence $1,0D0,000 MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY n PECTRO-- LOC OTHER: GENERAL AGGREGATE $ 2,000,DD0 PRODUCTS - COMP/OP AGG $ 2,000,000 $ D AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY -- OBUECAZ6483 9/10/2018 9/10/2019 COMBINED SINGLE LIMIT (Ea accident) $1 000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE EUYJOODOB90700 6/10/2018 9/10/2019 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9,000.000 $ DED RETENTION$ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER'MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 0BWECAB5Z3V 911=018 9/10/2019 X STATUTE ER $1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEq _ $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is an Additional Insured as respects to the General Liability and Auto Liability policies, pursuant to and subject to the policy's terms, definitions, conditions and exclusions. GEH I II-II;A I t HL)LUtH l ANt.,CLLA I IUN City of Fort Collins PO BOX 580 Fort 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD