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HomeMy WebLinkAboutALLIED UNIVERSAL TOPCO LLC - INSURANCE CERTIFICATEACC CERTIFICATE OF LIABILITY INSURANCE D M1/20019 THI�RTIFICATE 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 pci tcy(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 endorsements . PRODUCER MARSH USA INC 1717 Arch Sheet Philadelphia, PA 19103 Ann: Philadelphia.terts@marsh.com / Fax: (212) 948-0360 C - NAME: PHONEFAX . AIC No ADD IL INSURE S AFFORDING COVERAGE NAICi INSURER A:Lexington Insurance Company 19437 CN11W25105-AUS,GAWU-19.20 INSURED Allied Universe] Topce, L-C; (See Attached for Additional Named Insureds) 161 Washington Sheet, Suite 600 Conshohocken, PA 19428 INSURER B: Greenwich Insurance Company 22322 INSURER C : XL Insurance America 24r INSURER D : Indian Harbor Insurance Company 36940 INSURER E : XL Insurance Company 37885 INSURER F : i.�.' ..nee /`cGY1e11-ATC WnMnFG. N F.0116354117-04 REVISION NUMBER: U THIS IS TO CERTIFY THATTHE_ 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 AD L U POLICY NUMBER M DPOLICY EFF POLICY EXP MIDDAMY LIMITS A X COMMERCIAL GENE RAIL LIABILITY CLAIMS -MADE FRI OCCUR CONTRACTUAL LIABILITY 082695264 11/01/2019 11/01/2020 EACH OCCURRENCE $ io,op'm PREMISES (Ea occurrence) $ 10,000,D00 X MED EXP (Any one $ X SIR $1,750,000 PERSONAL s ADV INJURY $ 10,000,000 GEN'L AGGREGATE. LIMIT APPLIES PER: X PRO ❑ LOC POLICY ❑ JECT OTHER: GENERALAGGREGATE $ 10,000,000 PRODUCTS-COMP/OP AGG $ 10,0D0,000 B AUTOMOBILE LIABILITY X ANY AUTO AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY RAD9437818-03 1110112019 11/01/2020 OMBBIINEDtSINGLE LIMIT Me acciden $ 5,006,600 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per acdoent - $ $ UMBRELLA LIAS EXCESS LIAR X OCCUR CLAIMS -MADE RES9437994 EXCESS OF GENERAL LIABILITY - 11/0112019 11/01/2020 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,006,000 DED RETENTION S $ WORKERS COMPENSATION AND EMPLOYERSLIABIUTY YIN ANYPRE OFFICE IMEMB REXC UDED?ECUiIVE E OFFICE ory In NH), (Mandatoryln NH) If describe uncle DESCRIPTION OF OPERATIONS below NIA RWD3D01203-03(AOS) RWR3001204-03(WI) - 11/01/2019 1110112_020 - 11/01/2020 FE_ X STATUTE ERH E.L. EACH ACCIDENT $ 1,0W'000 E.L. DISEASE - EA EMPLOYEE $ 1,OOD,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ - DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD lot, Additional Remarks Schedule, may be anaUied if more space Is required) Certificate Holder is included as additional insured where required by written contract with respect to General Liability and Auto Liability. City of Fort Collins Purchasing Department P.O. Box 280 Ft Collins, CO 805N SHOULD ANY OF THE ABOVE' DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. of Marsh USA Inc. Manashi Mukherjee MauaeJ w► reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD