HomeMy WebLinkAbout556475 ZAGSTER INC - INSURANCE CERTIFICATE (7)� i
A�Ra CERTIFICATE OF LIABILITY INSURANCE Onr9/16/2019rr1
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: It 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
Arthur J. Gallagher Risk Management Services, Inc.
470 Atlantic Avenue
Boston MA 02210
Inc
INSURED
Zagster, Inc.
50 Milk Street
Boston MA 02109
COVERAGES CERTIFICATE NUMBER:1737617699 REVISION NUMBER:
617.646-0400
10641
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�— �ADDLSUBN - -- POLICY EFF POLICY E%P-�-----_---� —'
LTA I TYPE OF INSURANCE INSID WVD FOIJCYNUMBER DIYY MMIDD/YYYY LIMITS
A
X COMMERCIAL GENERAL LIABILITY
AES105358601
6110/2018
9/302019 EACHOCCURRENCE
$1.000.000
CLAIMS -MADE X_, OCCUR
DAM
i PREMISES IEa occurrence
s1D0,000
MED EXP (Anyone Person)
s EXCLUDED
PERSONAL BADVINJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$5.000,000
POLICY X_ JECTPRO IOC
PRODUCTS AGG
-s2,000,000
OTHER
$
B
AUTOMOBILEUABIUTY
OBUECAZ6483
9110/2018
9130/2019 QOMBINEDSINGLE LIMIT
$1,000,000
,(@p aclad4nt
X .ANY AUTO
BODILY INJURY (Par person)
$
OWNED SCHEDULED
AUTOS ONLY _ AUTOS
BODILY INJURY (Per accident)
s
HIRED NON -OWNED
_
PROPERTY DAMAGE
If
ONLY _ AUTOS ONLY
(Per_accldem
$
D
X UMBRE"UAB X ' I OCCUR
i
ELD30000690700
6/10/2018 9I30I21J19 EACH OCCURRENCE
s9,0DO.000
EXCEBS UAB : WMS-MADE
C
AGGREGATE
59,000,000
Dm�RETENTIONS
6
C WORKERS COMPENSATION
08WECAB5Z3V
9/10/2019 9MO2020 X 'TATUTE OR
AND EMPLOYERS' LIABILITY Y I N
$1.000,000
ANYPROPRIETORPARTNERIEXECUTIVE
E.L. EACH ACCIDENT
OFFICERIMEMBEREXCLUDED7 NIAi
'-
$1,000.000
(Mandatory In NH)
E.L. DISEASE - FA EMPLOYEE
II yes, descr ue under
'—
$1.000,000
DESCRIPTION OF OPERATIONS beb.
E.L. DISEASE - POLICY LIMIT
� I
I
DESCRIPTION OF OPERATIONS, LOCATIONS, VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
City of Fort Collins is an Additional Insured as respects to the General Liability policy, pursuant to and subject to the policy's terms, definitions, conditions and
exclusions
1 C nv Lucn
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
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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