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HomeMy WebLinkAboutUS BANCORP AND ITS SUBSIDIARIES - INSURANCE CERTIFICATE, I CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 07/10/2019 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 1-612-333-3323 NAAMEACT Dawn Heinemann and Melody Xronbach Hays Companies PHONE FAX LLC_No, Ext): 612-333-3323 I (AIC,_No): 612-373-7270 EMAIL dheinem @ha scorn anies.com 80 South Bth Street AoogEsg: _ Y _ P Suite 700 INSURER(S) AFFORDING COVERAGE NAI_CN Minneapolis, MN 55402 INSURER A: OLD REPUBLIC INS CO _.124147 INSURED U.S. Bancorp and its Subsidiaries 200 South 6th Street EP-MN-L20I Minneapolis, MN 55402 INSURER B INSURER C -- -- INSURER D._ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 56718298 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 ADOL'SUBR' POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYV LIMITS A X COMMERCIAL GENERAL LIABILITY X MWZY31397919 08/01/19 08/01/20 EACH OCCURRENCE S 5,000,000 CLAIMS -MADE Ix I OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any oneperson) $ EXCLUDED PERSONAL &ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 POLICY PEC LOC X PRODUCTS - COMP/OP AGG $ 6,000,000 $ OTHER A AUTOMOBILE LIABILITY X IMWTB31397719 08/01/19 08/01/20 COMBINED SINGLE LIMIT Ea accident) $ 250,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F (Mandatory in NH) N/A MWC31397619 08/01/19 08/01/20 X STATUTE ERH E.L. EACH ACCIDENT $ 2,000,000 ---- $ 2,000,000 E.L. DISEASE EA EMPLOYEE It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 2,000,000 A Excess Automobile Liab. MWZX31398119 08/01/19 08/01/20(LIMIT 4,750,000 I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Certificate holder is additional insured as respects general and automobile liability policies where required by writte contract. CERTIFICATE HOLDER CANCELLATION CON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gerry S. Paul 215 N. Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524-"(,_� USA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ddebuhr cc�i 0000