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HomeMy WebLinkAbout556475 ZAGSTER INC - INSURANCE CERTIFICATE (2)AC� ® DATE (MM/DD YYYY) �, CERTIFICATE OF LIABILITY INSURANCE 9/12/2018 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 CONTA T NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE 470 Atlantic Avenue ac No t : 617-261-6700 ac No : 617 646-0400 Boston MA 02210 ADDRESS: INSURED ZAGSINC-01 Zagster, Inc. 50 Milk Street Boston MA 02109 INSURER A: Associated Industries Insurance Co, Inc 23140 INSURER B : Hartford Accident and Indemnity Company 22357 INSURER c : Endurance American Specialty Ins Co 41718 INSURER D : Hartford Underwriters Insurance Company 30104 INSURER E: INSURER F : COVERAGES CERTIFICATF NIIMRFR, 19OA736919 RFVIRInN 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. ILTR NSR I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DD/YYYY MM/DD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE 7 OCCUR AES105358601 6/10/2018 9/10/2019 EACH OCCURRENCE $1,000,000 DAMAGE To ENTEU- PREMISES IER. occurrence $100,D00 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO JECT LOC OTHER: GENERAL AGGREGATE $ 2PW,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 08UECAZ6483 9/10/2018 9/10/2019 CO I -SINGLE LIMIT Ea accident $1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ELD30000690700 6/10/2018 9/10/2019 EACH OCCURRENCE $5,000.000 AGGREGATE $5,000,000 DED RETENTION$ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/ME MBE R EXCLUDED? (Mandatory in NH) 0 yes, describe under DESCRIPTION OF OPERATIONS below NIA 08WECAB5Z3V 9/10/2018 9/10/2019 X P O - STATUTE ER E.L. EACH ACCIDENT — $ 1.000.000 -- $1.000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT -----"------- $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it 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. CERTIFICATE HOLDER CANCELLATION 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