HomeMy WebLinkAboutNATIONAL MULTIPLE SCLEROSIS SOCIETY - INSURANCE CERTIFICATE (3). L CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
01/03/2019
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 CONTACT
MARSH USA, INC. NAME:
445 SOUTH STREET PHC N FAX
No):
MORRISTOWN, NJ 07960-6454 E-MAIL -
Attn: Morristown.CertRequest@marsh.com Fax: 212-948-0979 ADDRESS:
DENVE
20281
INSURED INSURER B :
NATIONAL MULTIPLE SCLEROSIS SOCIETY -
COLORADO - WYOMING CHAPTER INSURER C :
900 S. BROADWAY #250, 2ND FLOOR INSURER D
DENVER,CO 80209 --
INSURER E
INSURER F :
COVFRAGFR r FRTWIr`ATF All IMR9z0- AIV/`_nA0QQrAAF, 10
Insurance
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
IC
POLY EXP
MM/DD/YYYY
_
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
3583-33-49
12/31/2018
12/31/2019
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO ENTED
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:
PRO -
POLICY JECT 51 LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 1,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
7353-02-37
12/31/2018
12/31/2019
COMBINED SINGLE LIMIT
Ea accident
$
1,000,000
X
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
X
PROPERTY DAMAGE
Per accident
$
Comp/Coll Deductible
$ 1,000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
_
AGGREGATE
$
EXCESS LIAR
CLAIMS -MADE
DED I I RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRI ETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? �
NIA
71763467
12/31/201
X PER OTH-
STATUTE I I ER
E.L. EACH ACCIDENT
$ 1,000,000
E L DISEASE - EA EMPLOYEE
$ 1,000,000
(Mandatory in NH
If yes, describe under
DESCRIPTION OF OPERATIONS below
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)
RE. MS BIKE TOUR
CITY OF FORT COLLINS IS ADDED AS AN ADDITIONAL INSURED EXCLUDING WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY AS REQUIRED BY WRITTEN CONTRACT BUT LIMITED
TO THE OPERATIONS OF THE INSURED UNDER SAID CONTRACT AND ALWAYS SUBJECT TO THE POLICY TERMS, CONDITIONS AND EXCLUSIONS.
CITY OF FORT COLLINS
ATTN:LANCE MURRAY
PO BOX 580
FORT COLLINS, CO 80522
%,HIYI,CLLA
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.
Manashi Mukherjee jkf r��..oey� ttt_„ta.
U 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD