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HomeMy WebLinkAbout641230 PLANTE & MORAN PPLC - INSURANCE CERTIFICATEACC)J?L> DATE (M® M/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 3W.—I. 19 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 NAME: Amy Micallef, CIC, CISR, LIC, AAI, AIS Marsh & McLennan Agency LLC PHONE — FAX 15415 Middlebelt Road A/c No E: • 734-525-2445 _J (A/J_No): 734-525-1841 Livonia MI 48154-3805 ADDRESS: amicallef@mma-mi.com INSURED PMHOLDI P&M Holding Group, LLP & Subsidiaries; Plante & Moran, PLLC c/o Bonnie Kozikowski 3000 Town Center, Suite 400 Southfield MI 48075 INSURERD: _ INSURER E : INSURER F : IURER S AFFORDING COVERAGE NAIC # Insurance Company 20281 nsurance COmDanv 20397 rnVFRAr FS rFRTIFICGTF NI IMRFR• 9nnan1as1 RFVISInN NIIMRFR- 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 I SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR $50,000 Deduct Y 35756613 3/13/2019 3/13/2020 EACH OCCURRENCE $1,000,000 RENTED PREM SES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � ECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Y 73263017 3/13/2019 3/13/2020 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UM13RELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE 79833330 3/13/2019 3/13/2020 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1,000,000 DED I RETENTION $ $ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 71653087 3/13/2019 3/13/2020 XPER 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, its officers, agents and employees are included as additional insureds for commercial general liability coverage to the extent provided in the attached form #80-02-2367 and for auto liability coverage to the extent provided in the attached form #16-02-0292. GtKIIFIGAIt HULUtK City of Fort Collins Attn: Travis Storin 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD