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Home My WebLink About567622 RSM US LLP - INSURANCE CERTIFICATEACORD® CERTIFICATE OF LIABILITY INSURANCE D11/29201$D/YYYY) 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 Marsh USA Inc. 2405 Grand Boulevard, #900 CONTACT Ann Mood NAME: y PHONE 414 290 4700 FAX 414 290 4960 A/c Arc No E-MAIL moodc. ADDRESS: ann.c.moody@marsh.com Kansas City, MO 64108 Attn: KansasCity.CertRequest@marsh.com Fax: 212-948-0015 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Sentry Insurance A Mutual Company 24988 102813 REastm INSURED RSM US LLP One South Wacker Drive, Suite 800 INSURER B : Sentry Casualty Company 28460 INSURER C : Federal Insurance Company 20281 INSURER D : Chicago, IL 60606 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-007154319-13 REVISION NUMBER: 10 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 ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE lxl OCCUR 90-18524-04 11/30/2018 11/30/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE PREMISES Ea occur ence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER . X PRO - POLICY JECT PRO ❑ LOC OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG _- $ 2,000,000 $ A A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 90-18524-07 (AOS) 90-18524-06 (MA) 11/30/2018 11/30/2018 11/30/2019 11/30/2019 CEaOMaBINED SINGLE LIMIT ccident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident --- $ X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 9364-18-93 11/30/2018 11/30/2019 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DIED I RETENTION $ $ A B WORKERS COMPENSATION AND EMPLOYERSLIABILITY ' YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 90-18524-01 (AOS) 90-18524-02 (WI) 11/3012018 11/30/2019 11130/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,0W E L DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The City of Fort Collins, its officers, agents and employees are included as additional insured where required by written contract with respect to general and auto liabilities for 7516 Audit Services. CERTIFICATE City of Fort Collins - Gerry Paul 215 N. Mason Street, 2nd Floor, 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. Keith A. Stiles of4_ yw- :rW4� V 1Vt1t1-ZU1b AL:UKU UUKFVKAIIUN. All rlgnTs reserves. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD