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535458 CHEMTRADE CHEMICALS US LLC - INSURANCE CERTIFICATE
ACORO� CERTIFICATE OF LIABILITY INSURANCE D05/02/2019Dnyrv) 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: PHONE FAX 9830 Colonnade Blvd, Suite 400 (A/C. No. Ext): (A/C. No): San Antonio, TX 78230 E-MAIL�� CN 1 02200184-STND-GAWUL-1 9-20 INSURED Chemtrade Holdco US Inc 90 E Halsey Road Parsippany, NJ 07054 INSURERS AFFORDING COVERAGE NAIC # _ INSURER A: Allianz Global Risks US Insurance Company INSURER B : Liberty Mutual Insurance Company 23043 INSURER C : NIA I N/A lI INSURER F COVFRAGFS CFRTIFICATF NIIMRFR- HOU-003201884-09 RFVISION NIIMRFR- 5 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 MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY USL00049319 05/01/2019 05/01/2020 EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE [XIOCCUR OCCUR DAE ( PREME (Ea occurrence $ 100,000 X IVIED EXP (Any one person) $ 5,000 SIR: $100,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 5,000,000 POLICY PRO JECT J LOC X PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER B AUTOMOBILE LIABILITY AS1-B71-072790-069 (AOS) 05/01/2019 05/01/2020 COMEe aBINEDtSINGLE LIMIT $ 2,000,000 B X ANY ALI 10 AS1-B71-072790-079 (CA) 05/01/2019 05/01/2020 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFF ICER/M EMBE R EXCLUDED? (Mandatory in NH) N / A WA2-B7D-072790-089(AOS) WC2 B71-072790 019 (WI) 05101/2019 O5/O1/2020 05/01/2020 X PER OTH- STATUTE ER E. L. EACH ACCIDENT $ 1,000,000 E L. DISEASE - EA EMPLOYEE $ 1,000,000 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) The City, its officers, agents and employees included as additional insured (except Workers Compensation) where required by written contract CERTIFICATE HOLDER CANCELLATION City of Fort Collins 215 North Mason Street Fort Collins, CO 80521 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. Manashl Mukherjee_�t„ © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD