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HomeMy WebLinkAbout107395 CORE & MAIN LP - INSURANCE CERTIFICATEPage 1 of 4 ACORO® CERTIFICATE OF LIABILITY INSURANCE 0s/01/2019' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFRRMA71VELY 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 riehts to the certificate holder In lieu of such endorsementfal. PRODUCER Willis Towers Watson Northeast, Inc. fka Willis of New York, Ice. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372303191 USA INSURED Core G Main LP 1830 Craig Park Court Saint Louie, NO 63146 Cr1VFRGAFR nFRTIFICATF NIIMRFR- W12236119 Willis Towers Watson certificate center s11: 1-877-945-7378 (AlC, No): 1-808-467-2378 eertificates9willis.com . National Onion rice Insurance Coapsny of P 19445 . New Hampshire Insurance Company 23841 . Warkal Insurance Ccalpany 38970 . Wavigators Insurance Company 42307 . sarkahire Hathaway specialty Insurance calls 22274 American Rome Assurance Company 19380 RFVIRION NIINIRFR- 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'- --- POLICY EFF POLICY EXP — LTR TYPE OFINSURANCE POLICY NUMBER MMnOD/YYYV MMrDDIYYYV uwm X 1 COMMERCIAL GENERAL LU1sILRY EACH OCCURRENCE $ 1,000,000 DAMAGE TO E PR ME ISES a =Nmo S 1,000,000 CLAIMS -MADE a OCCUR MED EXP (Any one parl $ 15, 000 A X SIR: $500,000* Y OL 6862371 08/01/2019 08/01/2020 PERSONAL 4ADV INJURY �$ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG S 2,000,000 POLICY JETO. X LOG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acddAq $ 2,000,000 S X ANY AUTO BODILY INJURY (Per person) A OWNED SCHEDULED Y CA 4993187 08/01/2019 AUTOS ONLY I AUTOS 00/01/2020 BODILY INJURY (Per accident) S PROPERTY DAMAGE Pgr_acciCang g HIRED . NON -OWNED AUTOS ONLY AUTOS ONLY g UMSRELLALIAB _ OCCUR EACHOCCURRENCE $ AGGREGATE $ _.._._ EXCESS UA9 `u CLAIMS -MADE DED RETENTION$ $ WORKERSCOMPENSATION AND EMPLOYERS' LIABILrrY y r N 8 ANYPROPRIETORPARTNERnEXECUTIVE OFFICERIMEMBEREXCLUE M 'NIA WC 017515670 08/01/2019 (Mandatory In NH) 08/01/2020 X SPTEAT TEER E.L. EACH ACCIDENT g 1, 000,000 - - -- -- _. __. - E.L. DISEASE - EA EMPLOYEE $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASE � POLICY LIMIT 1 1, 000, o00 $ C Excess General Liability MxL146MM50000013 08/01/2019 08/02/2020 $5,000,000 xs I$1,000,000 DESCRIPTION OF OPERATIONS, LOCATIONS VEHICLES 4ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) * General Liability: The $1,000,000 per Occurrence and $2,000,000 Aggregate limits displayed is a combination of $500,000 Self -Insured Retention and $500,000 Per Occurrence /$1,500,000 Aggregate limits of liability provided by the carrier noted above. SEE ATTACHED 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 n '/4 © 1988-2016 ACORD 25 (20161;03) The ACORD name and logo are registered marks of ACORD sR ID: 18335558 sATCe: 1309794 2 of 3 4440