Loading...
HomeMy WebLinkAboutCARRIER CORPORATION - INSURANCE CERTIFICATE (8),d►c�oRv� CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDIYYYY) 03126/2019 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: - -- 20 CHURCH STREET, 8TH FLOOR AICN . Ext): __ A/c No : HARTFORD, CT 06103 E-MAIL -- ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 101 479273-CCS-GAW-1 9-20 INSURER A: Hartford Fire Insurance Company 19682 INSURED INSURER B : N/A N/A CARRIER CORPORATION 13995 PASTEUR BLVD INSURER C : National Union Fire Ins Co Pittsburgh PA 19445 PALM BEACH GARDENS, FL 33458 INSURER D : American Home Assurance Com an 19380 INSURER E: New Ham shire Ins. Co. 23841 INSURER F : COVERAGES CFRTIFICATF NIIMRFP- NYC.-n104A9.U7-01 RF\/IClrlti AIHUQF=P• 1 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 OCCUR 02CSET10004 '$2,000,000 General Aggregate' 04/01/2019 04/01/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 'Per Project / Location' PERSONAL & ADV INJURY $ 1,000,000 '$10,000,000 General Aggregate' GENT AGGREGATE LIMIT APPLIES PER. POLICY PRO- LOC GENERAL AGGREGATE $ 2,000,000 'Per Policy' X 2,000,000JCT $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED r -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ .NON - UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ C D E E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A CT QSI-5565605 (SIR 2.5MM) CA-012717187 MULTI-12717189; FL-012717188 MULTI-012717185; MULTI-012717186 04/01I2019 04/01/2019 04101/2019 64/01/2 220 04101/2020 04/01/2020 04I01/2020 X PER oTH- 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) %,CR I Iri%.R I C rIULLJCr( UANUtLLA I IUN City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 North Mason Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, CO 80524 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee _AVCM.,,st, ,. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD