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HomeMy WebLinkAbout550565 MOSAIC GLOBAL SALES LLC - INSURANCE CERTIFICATEPage 1 of 1 ACOR©CERTIFICATE OF LIABILITY INSURANCE DATEIM 10/03/201YY) /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 rlahts to the certificate holder in lieu of such endorsement(s). PRODUCER �v 1— NAME: Willis of Minnesota, Inc. - - c/o 26 Century Blvd PHONE . 1-877-945-1378 FAX 1-888-467-23 A'C. No . EMAIL certificates willis.com P.O. Sox 305191 DRESS: @ Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAICi► - - INSURERA. Old Republic Insurance Company 24147 INSURED INSURER 8 : Mosaic Global Sales LLC; The Mosaic Attn: Mika Bishop, Director Risk Mgmt. INSURERC_ Atria Corporate Center, Ste E490 _INSURER D: 3033 Campus Drive -- --- --' --- Plymouth, MN 55441 USA INSURERS: INSURER F : --- COVERAGES CERTIFICATE NUMBER: W8334477 RFVISION NUMRFR: 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 REOUIREMENT. 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. L §R �U� ___._____i ..'.�O�Y EFF -POLICY EXP LTR TYPE OF INSURANCE ( POLICY NUMBER ! tlfll IY YY + *DD,'YYY , LIMITS X COMMERCIAL GENERAL I CLAIMS -MADE %� OCCUR i EACH OCCURRENCE $ 2,000,000 I _ LrREMISES LEe occu*rencel A X 1 $1, 000, 000 SIR Ij MED EXP (Any one person) $ PERSONAL ADV INJURY $ 2,000,000 l MWZY 308056 10/22/2016 10/22/2019 GEN.L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE B 5,000,000 X POLICY r_: j Ca J1 LOC PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT :: $ 3,000,000 Ca aoi; en BODILY INJURY IPer person) $ X ANY AUTO A OWNED SCHEDULED AUTOS ONLY C AUTOS HIRED NON -OWNED AUTOS ONLY �,; AU AUTOS ONLY NNTH 308058 I10/22/2016 i 10/22/2019 BODILY INJURY IPe(acddent) f PERTYDAMAGE PRO dolent) �,.,-, I $ $ •,_ ,,,_,_, is UMBRELLALIAIS OCCUR EACH OCCURRENCE is AGGREGATE $ EXCE66LIA8 CLAIMS -MADE DED s 11 RETENTION S WORKERS COMPENSATION 1 X ;PER j AND EMPLOYERS' LIABILITY + YEN A ANYPROPRIETORPARTNEW'E OFFICER'MEMBEREXCLUDED? INol In NH) MIA(Mandatory 1 EOTH R i�TATUT� ER E.L EACH ACCIDENT $ 3,000,000E E.L DISEASE - EA EMPLOYEE $ 3,000,000 It as. describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ 3,000,000 I I DESCRIPTION OF OPERATIONS ; LOCATIONS, VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space is required) City of Fort Collins Cc 4316 W. La Porte Ave. Fort Collins, CO 80521 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 r-7 I © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16838786 BATCH: 895811 2 of 2 7308