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HomeMy WebLinkAbout107395 CORE & MAIN LP - INSURANCE CERTIFICATE (2)1 Page 1 of 3 I"' AOC"I? � CERTIFICATE OF LIABILITY INSURANCE DATE (NAUODrVYYY)DB/O1/2D19 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 CONNAME Willie Totrera Matson Certificate Caviar Willis Towers Watson Northeast, Inc. fka Willie of New York, Inc. PHONE 1: 1-877-945-7378 AIC No: 1-888-467-2378 c/o 26 Century Blvd -MAIL P.O. Box 305191 ADDRESS: certificatea@willis.com Nashville. TN 372305191 USA.....,«.,.� .,.,... INSURED Core L Main LP 1830 Craig Park Court Saint Louie. NO 63146 INSURERA: National Union ]rive Insurance Company of P' 19445 INSURERS: New Hampshire Insurance Company 23841 - INSURERC: Markel Insurance Company 38970 INSURERD: American Home Insurance Company INRILI F. Illinois --National Insusaa0e Company 19330 23817 COVERAGES CERTIFICATE NUMBER: W12236118 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 POLICY NUMBER POLICY FF MMIDDIYY 7 D/YYYY UMTB X COMMERCIAL GENERAL LIABIUTY EAOHOCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISESjgia ocuirrencej.__ $ 1,000,000 X A 8IR: $300, 000• MED EXP (Any one person) $ 15,000 T GL 6862371 08/01/2019 08/01/2020 PERSONAL& ADV INJURY $ 1,000,000 GENL GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER POLICY PROX LOD PRODUCTS ,000JECT $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) !, $ ANY AUTO OWNED 77SCHEOLILED AUTOS ONLY AUTOS BODILY INJURY (Per abddeml'$ PROPERTY DAMAGE (Per acciOMQj___ _ $ HIRED NaJ-OWNED AUTOS ONLY AUTOS ONLY I i $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ _AGGREGATE _ $ EXCESS UAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY B ANYPROPRIETOR'PARTNER/EXECUTIVE YIN OFFICERMEMSER EXCLUDED? IrNo 1I N;A WC 017515670 (Mandatory In NH) 08/01/2019 I X TA T R E.L. EACH ACCIDENT _ 08/01/2020 '—'— _-- - — E.L. DISEASE - EA EMPLOYE $ 11000, 000 8 1, 000, 000 llyes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 8 1,000,000 C Excess General Liability MXLM6MM50000013 08/01/2019 08/01/2020 $5,000,000 so $1,000,000 DESCRIPTION OF OPERATIONS : LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It 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 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 City of Fort Collins 215 N. Mason St. Fort Collins, CO 80522 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sA ID. 18335558 BATCH: 1309794 2 of 3 4442