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HomeMy WebLinkAbout606688 DC GROUP - INSURANCE CERTIFICATEC. AcC>R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 04/25/2019 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 Jane Po reba NAME: 9 North Risk Partners - Bearence (PA Ext : (651)379-7800 Fvc No : (651)379-7801 2010 Centre Pointe Blvd. E-MAIL jane.Dogreba a, north riskoartners.con ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Mendota Heights MN 55120 INSURER A: Phoenix Insurance Co. 25623 INSURED INSURER B : Travelers Property Casualty Cc of America 25674 DC Group, Inc. INSURER C : Travelers Casualty & Surety Company of America 31194 1977 W River Road N INSURER D : INSURER E : Minneapolis MN 55411 INSURER F : COVERAGES CERTIFICATE NUMBER: CL1942488370 REVISION NUMBER: 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 AIJUL INSD 5UI3R WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence $ 300,000 X MED EXP (Any one person) $ 10,000 Ind contractual liab PERSONAL & ADV INJURY $ 1,000,000 A 6303J971980 05/01/2019 05/01/2020 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 7 JECTPRO 7 LOC POD RUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BOWNED IX SCHEDULED AUTOS ONLY AUTOS 8109M245388 05/01/2019 05/01/2020 BODILYINJURY(Peraccident) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 20,000,000 B EXCESS LIAB CLAIMS -MADE CUP4J104789 05/01/2019 05/01/2020 DED I X RETENTION $ 10,000 $ B WORKERSYIN COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A UB3J995387 Ex. ND,OH,WA,WY 05/01/2019 05/01/2020 PER OTH- X STATUTE I 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 C Crime-3rd Party-$10K Ded Stop Gap Liab-OH,WA,ND,WY 106727680 05/01/2019 05/01/2020 Crime Single Loss Limit Stop Gap #UB3J995387 3,000,000 Ea Acc//BI Dis-EE/Limit 1 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured in favor of City of Fort Collins, its, Officers, agents and employees with respect to General Liability coverage as required by written contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522- _ y .cam �`"T 'c-�'..ti,�j,�•(�.,fZ-^c�.-'� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD