HomeMy WebLinkAbout326357 CENVEO CORPORATION - INSURANCE CERTIFICATEoRo® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
10/02/2019
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 CONTACT
Marsh USA, Inc. NAME:.
PHONE FAX
1166 Avenue of the Americas _ - WC, Nol'
New York. NY 10036 E-MAIL
Attn: NewYork.Certs@marsh.com Fax. 212-948-0500 ADDRESS:
INSUREDCenveo Worldwide Limited INSURER B : Hartford Fire Insurance Company 19682
200 First Stamford Place, 2nd Floor INSURER c : Hartford Underwriters Insurance Company 30104
Stamford, CT 06902 INSURER D :Everest National Insurance ComoanY 10120
COVERAGES CERTIFICATE NUMBER: NYC09522052-24 REVISION NUMBER: 10
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
ADDL
BR
POLICY NUMBER
POLICY EFF
IMWDDrfYYYI
POLICY E%P
IMIMIDD/YYYY)LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE El OCCUR
10 ECS S64203
10/01/2019
10/01/2020
EACH OCCURRENCE
$ 2,750,000
DAMAGE TO RENTED
PREMISES Ea ocnarence
$ 2,750,000
MED EXP Any ore Person)
$
PERSONAL 6 ADV INJURY
$ 2,750,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY El PRO- LOC
OTHER
GENERAL AGGREGATE
$ 2,750,000
PRODUCTS - COMP/OP AGG
$ 2,750,000
SIR
$ 250,000
B
C
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
10 CSE S64204 (AOS)
10 CSE S64205 (HI)
10/01/2019
10/0112019
10101/2020
10/01/2020
COMBINED SINGLE LIMIT
a eccideMl
$ 3,000,000
_
BODILY INJURY (Par person)
$
BODILY INJURY (Per amiclent)
$
PROPERTY DAMAGE
Per idard
$
$
X
UMBRELLA LIAB
EXCESS UAB
X
OCCUR
CLAIMS -MADE
XC5C000112-191
10/0112019
10101/2020
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5.000,000
DED I I RETENTION$
$
E
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICE PRIE ORE%CLUE EXECUTIVE [
(Mandatory in NH)
It as, describe uncle,
DESCRIPTION OF OPERATIONS below
N/A
10 WN S64200 (AOS)
BRS64201(WI)
10/01/2019
10/01/2020
10101/2020
X I PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION Of OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is ragWred)
THE CITY OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT.
a1-1 al a/ya1
CITY OF FORT COLLINS
PURCHASING DIVISION
ATTN: GERRY S PAUL DIRECTOR OF PURCHASING
215 NORTH MASON 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
of Marsh USA Inc.
Thomas J. Edridge �t - F�
lcl T96L7-LU1b AI.UKLP LUKYUKA I IUIY. All 1-191115 re SBrVCU.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD