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HomeMy WebLinkAbout554724 MAGELLAN ADVISORS LLC - INSURANCE CERTIFICATEMAGEL-1 ACORD D/YYYY) E (MM/D CERTIFICATE OF LIABILITY INSURANCE 0DATE 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 endorsements . 262-478-1000 CONTACT Diane Larson PRODUCER NAME: Bruce Gendelman Co., Inc. PHONE 262-478-1000 FAX 262-478-1001 Suite 101 (A/C, No, Ent): (A/C, No): 500 W Brown Deer Rd A-M RE : diarson@gendelman.com Milwaukee, WI 53217 INSURER A: Phoenix Insurance Co INSURED INSURER B : Travelers Prop Cas Co of Amer Magellan Advisors, LLC Mr. John Honker INSURERC: Travelers Indemnity of America 450 Alton Road #1402 Lloyd's of London Miami Beach, FL 33139 INSURERD: y INSURER E : Lloyd's NAIC# AA1122000 INSURER F : u-rs. OC\/ICVIhI I\II IIIaGCC. vTHIS 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 TYPE OF INSURANCE ADDL SUB Vp POLICY NUMBER POLICY EFF POLICY EXPLT. LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 111 2,000,000 CLAIMS -MADE X OCCUR X 16608K446321 04/12/2019 04/12/2020 DAMAGE TO RENTED PREWSE r n 50,000 $ MED EXP (Any oneperson) 51000 PERSONAL & ADV INJURY $ _ _ _ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: X POLICY 7 jpcoT LOC GENERAL AGGREGATE $ 4,000,600 $ 4,000,000 PRODUCTS - COMP/OP AGG OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 21000,000 _ BODILY INJURY Per erson ANY AUTO 16608K446321 04/12/2019 04/12/2020 $ BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS ROacEcitlentDAMAGE X HIRED X NON-pWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS -MADE CUP81<473520 04/12/2019 04/12/2020 AGGREGATE $ 1,000,000 DED I X I RETENTION $ 5,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N / A UB81<601189 04/1212019 04/12/2020 X PER OTH- UTE R E.L. EACH ACCIDENT 11000,000 E.L. DISEASE - EA EMPLOYEE 1 000 000 $ ' ' E.L. DISEASE - POLICY LIMIT If yes describe under DESCRIPTION OF OPERATIONS below 1,000,000 D PROFESSIONAL LIAB B0621 PMAGE000819 04/12/2019 04/12/2020 EA CLAIM 2,000,000 $25,000 DEDUCTIBLE AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins, its officers, agents and employees are included as additional insured under general liability coverage as required by written contract or agreement. CITF005 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 gtuxl_ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD