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HomeMy WebLinkAboutLES MILLS UNITED STATES TRADING INC - INSURANCE CERTIFICATEARn CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/31/2018 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 Aon Risk Services Northeast, Inc. Cincinnati OH office CONTACT NAME: PHONE (866) 283-7122 F0X (800) 363-0105 (A/C. No. Ext): (q C. No.): E-MAIL ADDRESS: 8044 Montgomery Road suite 405 Cincinnati OH 45236-2919 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Federal Insurance Company 20281 Les Mills United States Tradino, Inc. INSURER B: ACE American Insurance Company 22667 363 West Erie, suite 200 Chicago IL 60654 USA INSURER C: Technology Ins Co,Inc. 42376 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570073746560 REVISION NUMBER: 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE I D INSD UBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY P LI Y EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY OGLG 11 1 117 /2018 EACH OCCURRENCE $1, 000, 000 CLAIMS -MADE -1 OCCUR DAMAGE T RENTED PREMISES Ea occurrence $1 000 000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENE RAL AGGREGATE $2,000,000 X POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMP/OP AGG $1,000,000 OTHER: A AUTOMOBILE LIABILITY (17)7359-58-73 11/30/2017 11/30/2018 COMBINED SINGLE LIMIT Ea accident $1 000 000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) OWNED SCHEDULED JANYAUTO AUTOS ONLY AUTOS HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident UMBRELLA LIAB EACH OCCURRENCE AGGREGATE EXCESS LIAB HOCCUR CLAIMS -MADE F. DED RETENTION C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR I PARTNER, EXECUTIVE Y❑ TWC3737558 10/01/2018 10/01/2019 X STA UTE OTH E.L. EACH ACCIDENT $1, 000 , 000 N OFFICER/MEMBER EXCLUDED, (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE $1 , 000 , 000 if yes, NOF OPERATIONS below. render DESCRIPTION D H.L. DI8EA5E-POLICYLIMiT $i,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As respects to policy number OGLG25702967, Aon Risk Solutions (U.s.) is generating and distributing this certificate in an administrative capacity. Aon New Zealand is the broker for the defined policy. City of Fort Collins, the city, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE PO BOX 580 Fort Collins Co 80522 USA �j �� p � �i e�4'�a ��e�esrceD c.// Zz.4e, e J Ll' �L JS -t— ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD