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HomeMy WebLinkAbout556475 ZAGSTER INC - INSURANCE CERTIFICATE (5)AO C)R" CERTIFICATE OF LIABILITY INSURANCE DATE IlikS/S/2019YYY) 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: - -- _ — Arthur J. Gallagher Risk Management Services, Inc. PHONE 617-261-6700 FAc No): 617 646 0400 470 Atlantic Avenue E-MAIL Boston MA 02210 ADDRESS: INSURERS AFFORDINGCOVERAGE NAIC# INSURER A: Associated Industries Insurance Co, Inc 23140 INSURED Zagster, Inc. 50 Milk Street ZAGSINC-01 INSURER B: Hartford Accident and Indemnity Company jNSUREIRC: Endurance American Insurance Company 22357 _ 10641 INSURER o _Hartford Underwriters Insurance Company t 330104 Boston MA 02109 INSURER E INSURER F : COVERAGES CERTIFICATE NUMRER!331R37Rnn RFVISInN NIfMRFR- 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. INSRLTF1 TYPE OF INSURANCE ADDL SUS POLICY NUMBER _—� PMOC� F PYI IMMO/ EXP LIMITS A X I COMMERCIAL GENERALLIABIUTY CLAIMS -MADE OCCUR AES105358601 6/10/2018 9/10/2019 EACH OCCURRENCE PR 1$ $ &a occurrence) $1,000,000 $1,000.000 $ EXCLUDED MED EXP (Any one parson) PERSONAL & ADV INJURY $1,000,000 GEWL AGGREGATE UMIT APPLIES PER: — $ 2,000,000 GENERAL AGGREGATE - � T 11:1 LOC POLICY I I JE PRODUCTS -­COMP/OP AGG $ 22000,000_ OTHER: B AUTOMOBILE LIABILITY 08UECAZ"83 9/10/2018 9/10/2019 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO I BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS I I BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY _ PROPERTYDAMAGE $ $ C X UMBRELLA UAB X I OCCUR ELD30000690700 6/10/2018 9/10/2019 EACH OCCURRENCE $ 9,000,000 AGGREGATE $ 9,000,000 EXCESS LIA6 CLAIMS —MADE f ' $ DED RETENTION $ D WORKERS AND EMPLOYOMPENSATION ERS' LIABILITY YIN ANYPROPRIETOR(PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? El �IlllA (Mandatory In NH) 08WECA65Z3V 9/10/2016 9/10/2019 �X ! STpTUTj_ERH - 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 I ' I I � I DESCRIPTION OF OPERATIONS 1 LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space is required) Certificate Holder is an Additional Insured as respects to the General Liability and Auto Liability policies, pursuant to and subject to the policy's terms, definitions, conditions and exclusions. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins PO BOX 580 AUTHORIZED REPRES NTATIVE Fort Collins CO 80522 �4,6��� © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2• of 2 4952