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HomeMy WebLinkAbout426136 MUNICIPAL EMERGENCY SERVICES - INSURANCE CERTIFICATE (6)ACORb- CERTIFICATE OF LIABILITY INSURANCE 164_� 12/29/2019 DATE(MM/DD/YYYY) l 2/ 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: HONE FA A/C, No, Ext : A/C No): 76 Batterson Park Road Farmington CT 06032 860-678-4000 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Company of America 25666 INSURED Municipal Emergency Services, Inc. INSURER B : Navigators Insurance Company 42307 1372711 P.O. Box 656 Southbury CT 06488 INSURER C : Travelers Property Casualty Co of America 25674 INSURER D INSURER E : INSURER F : COVERAGES CFRTIFICATF NUIMRFR- 141 14656 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 Y N 630-2528A484 12/29/2018 12/29/2019 EACH OCCURRENCE 1,000,000 PREMISES (Ea occurrrence) $ 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1000 000 AGGREGATE LIMIT APPLIES PER OLICY❑ JEC LOC PoTHER: GENERAL AGGREGATE $ 2,000 000 PRODUCTS - COMP/OP AGG $ 2 000 000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED N AUTOS ONLY AUTOS ONLYLY AUTOS Y N 810 3639A515 12/29/2018 12/29/2019 Ea accctlentSINGLE LIMIT $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE N N B019UMR8004421V 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 YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 2 OFFICER/MEMBER EXCLUDED? (Mandatory in NH( If yes, describe under DESCRIPTION OF OPERATIONS below N / A N UB-IL70309A 12/29/2018 12/29/2019 X STATUTE ER E.L. EACH ACCIDENT $ 11000000 E.L. DISEASE - EA EMPLOYEE !1 $ 1.000.000 E.L. DISEASE - POLICY LIMIT 1000 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as an Additional Insured with respect to General Liability and Auto Liability as required by written contract. 11Lef1 Ill Iai PI111930 14114656 City of Fort Collins 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 Ar()Rn'7F f?n1Rm31 ©1988-201ACCIAD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD