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Home My WebLink About567622 RSM US LLP - INSURANCE CERTIFICATE (2)A/CoOR L�® wr'" J CERTIFICATE OF LIABILITY INSURANCE DATE 7YYYY) 1112912018 12018 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 NAME: _. PHONE FAX A/ A/c No): Kansas City, MO 64108 Attw KansasCity.CertRequest@marsh.com Fax: 212-948-0015 E-MAIL ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC # INSURER A: Sentry Insurance A Mutual Company 24988 081817 Eastma INSURED RSM US LLP One South Wacker Drive, Suite 800 INSURER B : Federal Insurance Company 20281 INSURER C : Continental Casualty Company 20443 INSURER D : Sentry Casualty Company 28460 Chicago, IL 60606 INSURER E : INSURER F : CnVFRAnFS CERTIFICATE NUMBER: CHI-008717817-05 REVISION NUMBER: 9 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 I X] OCCUR 90-18524-04 11/30/2018 11/30/2019 EACH OCCURRENCE $ 1,000,000 DAMA E T REED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X 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 (ADS) 90-18524-06 (MA) 11/30/2018 11/30/2018 11/30/2019 11/30/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE 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 DED I I RETENTION $ $ A p WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 90-18524-01 (ADS) 90-18524-02(WI) 11/30/2018 11/30/2019 11/30/2019 X PER STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Property RMP6023285901 11/30/2018 11/30/2019 Blanket Limit: Deductible: 1,000,000 SEE ATTACHED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins is named as Additional Insured with respect to General and Auto Liability if required to be so by written contract. C_FRTIFIC_ATF HOLDER CANCELLATION The City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Purchasing Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Keith A. Stiles ec�q[_ U 1 VUB-ZU76 AGUKU GUKNUKA I IUIV. All rlgnrs reserve0. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD