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Home My WebLink AboutRUBICON GLOBAL LLC - INSURANCE CERTIFICATEA`COieo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02106/2019 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 MARSH USA, INC. TWO ALLIANCE CENTER 3560 LENOX ROAD, SUITE 2400 ATLANTA,GA 30326 CONTACT NAME; FAX �C No Exq: E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICq _ INSURER A: Continental Casualty Company 20443 CN118589441--GAWUX-19-20 INSURED Rubicon Global Holdings, LLC 950 East Paces Ferry Road INSURER B : Valley Fore Insurance Co 20508 INSURER C : N/A NIA INSURER D : Continental Insurance Co 35289 Suite 1900 Atlanta, GA 30326 INSURER E : INSURER F : COVERAGES CFRTIFICATF NIIMRFR: ATL-004843516-04 REVISION NUMBER: 4 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 MM/DD/YYYY MMEXP LDDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X 6057046070 04/04/2018 04/04/2019 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence) ence $ 100,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. NPOLICY ❑ PRO- El LOC JECT 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 X 6057046098 04/04/2018 04/04/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ UMBRELLALIAB EXCESS LIAB_ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFF ICER/MEMBEREXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 6075913997 6076230969 02/0112019 02/01/2020 02/0112020 X STATUTE ER E.LEACHACCIDENT $ 1,000,000 E.L DISEASE -EA EMPLOYEE $ 1,000,000 E L DISEASE - POLICY LIMIT 500,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: City of Ft. Collins and Rubicon Global Pilot Agreement City of Fort Collins, Colorado is included as additional insured where required by written contract with respect to General Liability and Auto Liability, TE HOLDER 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 of Marsh USA Inc. Manashi Mukherjeem� w� itµ �c.•.a<j V 11166-LUI b AGUKLJ %,UKrUKA I rvrv. AN rignts retierveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD