HomeMy WebLinkAbout659823 OPINION DYNAMICS CORP - INSURANCE CERTIFICATEA� o® CERTIFICATE OF LIABILITY INSURANCE
DATE(MMDDNYYY)
D9/1112019
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 Aaron Carchedi
NAME:
Merrimack Valley Insurance Agency Inc
PHONE (978) 667-2541 FAX (978) 671-4514
AIC No Ert: A/C, No:
C-MAIL s: acarchedi@mvins.com
ADDRE
655 Boston Road, Suite 1A
INSURER(S) AFFORDING COVERAGE
NAIC a
Billerica MA 01821
INSURER A: The HanoverAmencan Ins. Co.
36064
INSURED
INSURER B: Allmerica Financial Benefit
41840
Opinion Dynamics Corp
INSURER C : Hanover Ins, Companies
22292
1000 Winter Street
INSURER D: Citizens Ins, Co. Of America
31534
INSURER E : Capitol Specialty Insurance Corporation
10328
Waltham MA 02451
INSURER F:
COVERAGES CERTIFICATE NUMBER: 2u19-2u Master Cen 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
rypE OF INSURANCE
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIDOfYYYY
POLICY EXP
MMIDDNYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE ® OCCUR
N
DAMAGE O R occurrence
$ 100,000
MED EXP (Any one Parson)
$ 10,000
PERSONAL B AOV INJURY
$ 2,000,000
A
Y
ZZND030682
09/12/2019
09/12/2020
GEN'L AGGREGATE LIMIT APPUES PER:
GENERALAGGREGATE
$ 4,000.000
X ❑ F1
Included
POLICY JEC LOC
PRODUCTS-COMP/OP AGG
$
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea acudent
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
B
OWNED X SCHEDULED
Y
AWND030580
09/12/2019
09/12/2020
BODILY INJURY (Per awident)
$
AUTOS ONLY AUTOS
X
HIRED NON -OWNED
PROPERTY DAMAGE
Per accident
$
AUTOS ONLY AUTOS ONLY
X
UMBRELLA LIAB
I X
OCCUR
EACH OCCURRENCE
$ 5,000,000
C
EXCESS LIAR
ri
CLAIM&MADE
UHN0030811
09/12/2019
09/12/2020
AGGREGATE
$
DEO I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY Y
STATUTE ER
E.L. EACH ACCID ENT
$ 1,000,000
D
ANY PP.OPRIETORPARTEXCLNERJEXCVTIVE ❑
NIA
WBND030648 IDAHO ONLY
09i12/2019
09112/2020
OFFICER/MEMBER ED9 DED?
(Mandatory In NH)
I
E-L DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
Professional Liab
5,000,000
Professional Liability / Cyber
E
SGC000655904
09/12/2019
09/12/2020
Cyber Liab
5,000,000
DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space is required)
City of Fort Collins is an Additional Insured on the general liability and Business Auto policy described above for ongoing operations when required in a
written agreement with the Named Insured.
City of Fort Collins
PO BOX 580
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
Fort Collins MA 80522 ( 11- - <
CORPORATION. All rinhts m Pmorf
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD