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HomeMy WebLinkAbout326357 CONVEO ENTERPRISES INC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/05/2018 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 CONTACT Marsh USA, Inc. NAME: 1166 Avenue of the Americas (AIC NN . Ext): _ FAX No New York, NY 10036 E-MAIL Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 ADDRESS: INSURED Cenveo Enterprises, Inc. 200 First Stamford Place, 2nd Floor Stamford, CT 06902 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Twin City Fire Insurance Company 29459 INSURER B : Hartford Fife Insurance Company — 19682 INSURER C : Hartford Underwriters Insurance Company 30104 INSURER D : Everest National Insurance Company 10120 INSURER E: Trumbull Insurance COmoanv 27120 COVERAGES CFRTIFICATF MIIMR;FR• NYr_nnQ599nr�9.91 DPWICln6t 111,urMe1=o. 1n 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 A DDL SUER -- POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �� OCCUR 10 ECS S64203 10/01/2018 10/01/2019 EACH OCCURRENCE $ 2,750,000 RENTED E T PREMISES PREMISES Ea occurrence $ 2,750,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 2,750,000 GEN'L X AGGREGATE LIMIT APPLIES PER : PRO❑LOC JECT GENERAL AGGREGATE $ 2,750,000 2,750,000POLICY SIR $ 250,000 OTHER: B C AUTOMOBILE LIABILITY ANY AUTO 10 CSE S64204 (AOS) 10 CSE S64205 (HI) 10/01/2018 101/2018 10/01/2019 10/01/2019 COMBINED SINGLE LIMIT Ea accident $ 3,000,000 X BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR XC5C000112-181 10/01/2018 10/01/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS MADE DIED RETENTION$ $ E A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N/A 10 WN S64200 (AOS) 10 WBR S64201 (WI) 10/01/2018 10/01/2019 10/01/2019 X PER oTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E L DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000DESCRIPTION $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THE CITY OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS' COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT. cEK I [FICA I E HOLDER CANCELLATION CITY OF FORT COLLINS PURCHASING DIVISION ATTN: GERRY S PAUL DIRECTOR OF PURCHASING 215 NORTH MASON 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 of Marsh USA Inc. Thomas J. Edridge 1—A, ,y,a4— �t . Edl� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD