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HomeMy WebLinkAboutCOGENT INC - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE DA o�� 2a"�"' -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 INSURANCEDOES 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 poiicy(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 __. .. Aon tusk Services Central, Inc. Chicago IL Office 200 East Randolph Chicago IL -60601 USA .CONTACT. NAME: PHONE(&66) 283-7122 FFAX (800) 363-0105 (NC. No. Ert): A/C. No.: EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC R INSURED INSURER A. Zurich American ins Co 16535 cogent, Inc. 318 Broadway Street Kansas city m0 64105 USA INSURERS: American Zurich ins Co - 40142 - INSURERC:. 'Travelers Property Cas Co of America - 25674" INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570081189466 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 MAYBE 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE V POLICY NUMBERPOLICY EFF POLICY EXP LBQfSB X COMMEBciALOENERALLIABILiTT CLAIMS -MADE OCCUR GLO _ - EACH OCCURRENCE $2,000,000 PREMISES Ea occurrence)$500,000 MED EXP (Any one person) S10,000 PERSONAL& ADV INJURY $2,000,005 GEN'LAGGREGATE LIMIT APPLIES PER: O X POLICY ❑ PET ❑ LOC OTHER: GENERAL AGGREGATE $4,000,0.00 PRODUCTS - COMP/OP AGG $4,000,0lo A A AUTOMOBILE LIABILITY ANYAUTO X OWNED SCHEDULED AUTOS AUTOS ONLY X HIRED AUTOS N NON -OWNED ONLY AUTOS ONLY NAP 1060783-03 BAP 1060784-03 04/01/2020 04/01/2020 04/01/2021 04/01/2021 COMBINED SINGLE LIMIT fEa accident) $2 , 000, 000 BODILY INJURY ( Per person) 80DILY INJURY (Per accident) - -'-'- - PROPERTY DAMAGE Per accident D X 11MBRELLALLAB EXCESS UAB X CLAIMS -MADE OCCUR ZUP16N481542ONF EX Follow Form & umbrella 04/01/2020 04/01/2021 EACH OCCURRENCE $10,000,000 AGGREGATE $1010.001000 DED RETENTION B -WORKERS COMPENSATION AND -- _ EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in W If ye% describe under DESCRIPTION OF OPERATIONS below N / A wC1 6 J 2. r4M7=_. X -ER PER STATUTE I OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE S1, 000, 000 - E.L. DISEASE-POUCV LIMB _ _ $1, 000,,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD IM, Additional Schedule, me be attached it more ( y apses le requlietl) City of Fort Collins is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. 0 S k CERTIFICATE HOLDER CANCELLATION Lu _ BEFORE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE Po BOX 2047 Fort Collins CO 80522 USA C.QC !v C l„JL ©1988-2015ACORD CORPORATION. All rights reserved. AC.ORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD