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HomeMy WebLinkAboutCARRIER CORPORATION - INSURANCE CERTIFICATE (9)A�C)RD� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 MARSH USA, INC. CONTACT NAME: -- PHONE FAX LA[c No. Ex(1_ A/c No : 20 CHURCH STREET, 8TH FLOOR HARTFORD, CT 06103 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : Hartford Fire Insurance Company 19682 101 479273-CCS-GAWX-1 9-20 _ _ INSURED CARRIER CORPORATION INSURER B : Hartford Underwriters Insurance Company 30104 INSURER c : National Union Fire Ins Co Pittsburgh PA 19445 13995 PASTEUR BLVD PALM BEACH GARDENS, FL 33458 INSURER D : American Home Assurance Company 19380 INSURER E: New Hampshire Ins. Co. 23841 INSURER F : N/A N/A COVERAGES CERTIFICATE NUMBER: NYC-010.565870-02 RF\/ICtrlAl MI IMRFR• n 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 T TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/YYYYI POLICY EXP (MM/DD1YYYYl _ - -- LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r l OCCUR 02CSET10004 $2,000,000 General Aggregate 04/01/2019 04/01/2020 EACH OCCURRENCE _$ 1,000,000 $ 300,000 DAMAGE T RENTED PREMISES Ea occurrence MED EXP (Any one person) $ 10,000 Per Project / Location PERSONAL & ADV INJURY $ 1,000,000 $10,000,000 General Aggregate GENT X AGGREGATE LIMIT APPLIES PER PRO- POLICY � JECT a LOC GENERAL AGGREGATE $ 2,000,000 Per Policy PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER A B AUTOMOBILE LIABILITY ANY AUTO 02CSET10000 (A/0) 02CSET10019 (HI) 04/01/2019 04;01/2019 04/01/2020 04/01/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR 02HUT10021 04/01/2019 04/01/2020 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED 1 1 RETENTION $ $ C D E E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (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 04/01/2019 04/01/2019 04/01/2019 04/01/2020 04/Ot/2020 04/01/2020 04/01/2020 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 SEE ACORD 101. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CONTRACTORS LICENSE CERTIFICATE HOLDER CANCELLATION CITY OF FORT COLLINS P.O. 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 Mukherjee 3kt.v �.�oo►,: `�'dt"`�L "O1'tic)-`-`- U 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD