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HomeMy WebLinkAbout426136 MUNICIPAL EMERGENCY SERVICES - INSURANCE CERTIFICATE (5)ACORb- CERTIFICATE OF LIABILITY INSURANCE 12/29/2019 F DATE(MM/DD/YYYY) 12/ 13 /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 Lockton Companies CONTACT NAME: PHONE A/C, No, EXc : A/C, No): 76 Batterson Park Road Farmin ton CT 06032 860-679-4000 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Company of America 25666 INSURED Municipal Emergency Services, Inc. INSURER B : Navigators Insurance Com am' 42307 1372711 7 Poverty Road, 85H Bennett Square Southbury CT 06488 INSURER C : Travelers Property Casualty Co of America 25674 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 15598632 REVISION NUMBER: XXXXXXX 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Fx]PREMISES Y N 630-2528A484 12/29/2018 12/29/2019 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED Ea occurrence 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1000 000 GENT AGGREGATE LIMIT APPLIES PER. POLICY JE� LOC OTHER, GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y N 810 3639A515 12/29/2018 12/29/2019 Ea accldentSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ Xj{X}{XXX BODILY INJURY (Per accident $ x}(xxxxx PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N N 1 B018UMR800442IV 1 12/29/2018 12/29/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000 000 DED I X I RETENTION $ 10,000 $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYOFFICER/MEMBER/PA EXCLUDED ECUTIVEFN (Mandatory in NH) If yes descnbe under DESCRIPTION OF OPERATIONS below N / A N UB-1 L70309A 12/29/2018 12/29/2019 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.l. DISEASE - EA EMPLOYEE A 1 ,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as additional insured with regards to General Liability and Auto Liability as required by written contract. 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. 15598632 AUTHORIZED REPRESENTATIVE City of Fort Collins PO BOX 580 Fort Collins, CO 80522 ernRn 9s /7nlamst ©1988-201,6ACOAD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD