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HomeMy WebLinkAbout100046 MERRICK & COMPANY - INSURANCE CERTIFICATEA ROB CERTIFICATE OF LIABILITY INSURANCE ATE D02/25/2019DYYY) 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. 122517TH STREET, SUITE 1300 CONTACT NAME: IA/C No. Exit: A/C No): DENVER, CO 80202-5534 Attn: Denver.CertRequest@marsh.com _ ADDRESS: — — — ---- INSURER S AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Ins Co 29424 CN101829745-STND-GAWUE-19- IE INSURED Merrick & Company INSURER B : Twin CI Fire Insurance Company 29459 — INSURER c : N/A — N/A 5970 Greenwood Plaza Blvd. Greenwood Village, CO 80111 INSURER D : Lexington Insurance Company 19437 INSURER E : INSURER F : Hartford Fire Insurance Company 19682 COVERAGES CERTIFICATE NUMBER: SEA-003565876-04 REVISION NUMBER: 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 INSD WVD SUER POLICY NUMBER POLICY EFF MM/DD YYYY POLICY EXP MM/DDY YY LIMITS A X COMMERCIAL GENERAL LIABILITY 57UUNZC2767 03/01/2019 03/01/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE IX I OCCUR DAMAGE TO RENTED PREMoccurrence PREMISES Ea $ 1,000,000 IVIED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 NPOLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER F AUTOMOBILE LIABILITY 57UUNZC2767 03/01/2019 03/01/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLALIAB X OCCUR 57RHUFM3402 03/01/2019 03/01/2020 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000.000 EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION $ 10,000 $ B A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) N / A 57WEVK1 120 (ADS) 57WEVK1120 (MO,NC,SC,TX) 03I01/2019 03/01/2020 03/01/2020 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 D Professional & Pollution Liab. 015448988 03/01/2019 03/01/2020 Per Claim/Aggregate 2,000,000 Shared Limits - Claims Made Retention 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as additional insured (except workers compensation, and professional/pollution liability) where required by written contract. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. Waiver of subrogation is applicable where required by written contract. CtK I IFICA I t HOLDEK CANCELLATION City of Fort Collins Owen Randall 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 of Marsh USA Inc. Jon Lindstrom _ x� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD