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HomeMy WebLinkAboutRUBICON GLOBAL HOLDINGS LLC - INSURANCE CERTIFICATEA�CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD)YYYY) 04/0602o THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE I 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 of 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 MARSH USA, INC. TWO ALLIANCE CENTER 3560 LENOX ROAD, SUITE 2400 GA W326 CON A NAME' PHONNo. Exth E AIC Not: ADDRESS: E-MAIL-.ATLANTA, INSURER(S) AFFORDING COVERAGE NAICd INSURER A:AOamicSpecialty Ins Co VIM CN118589441-GAWUX-20-21 INSURED Rubicon Global Holdings, LLC INSURER B.:. NIA NIA 450 East Paces Ferry Road INSURER C : INSURER D.: Suite 1900 Atlanta, GA 30326 INSURER E .INSURER F rnvcoecoc r_CRTIC119-AW MI1N Ft1:0- ATL•004IM3516-11 REVISION NUMBER-, 4 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 OTHERWI DOCUMENT TH 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. LIMITSSHOWN MAY HAVE BEEN REDUCED BY:PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL U R --. ._-: POLICY NUMBER _ _ POLICTEFF MM/DOIYYYY .POLICYFYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FTI OCCUR X 711-01-70-74400 04/04/2020 0410412021 EACH OCCURRENCE $ 1,000,000 DAMAGE TU RENTED PREMISES Ea occurrence $ 1,000,000 MED.EXP(Any one. person) $ 15,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: N POLICYF PET LOG OTHER: _GENERAL AGGREGATE $ 2,000,000 .PRODUCTS, COMP/OP AGG $ 2,00010DO A AUTOMOBILE LIABILITY X ANY AUTO OWNED - SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X 711-01-70.74-0000 Hired Physical Damage: Comp/Coll Deductible: $1,000 - 04/04/2020 04104/2021 COMBINEDSINGLELIMIT Ea accident - $ 1,000,000 ...... BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAO OCCUR CLAIMS -MADE _ -. .. ­_ __ _ .EACH000URRENCE .AGGREGATE $.. DIED I I RETENTION - - - _ $- - A WORKWScomPENSATION, AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) - e es, describe under DESCRIPTION OF OPERATIONS below NIA 711-01-70.74-0000 _ _ 1 -X STATUTE ER - - E.L. EACH ACCIDENT $: 1,000,000 - - -- -- E.L. DISEASE - EA EMPLOYEE $ 1,000,000 .E.L..DISEASE _POLICYLIMIT $. 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space.is required) RE: City of Ft. Collins and Rubicon Global Pilot Agreement City of Fort Collins, Colorado is included as additional insured where required by written contract with respect to General Uability and Auto Uability. City of Fat 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. of Marsh USA Inc. ManashiMukherjee ,Mauars*� �+4.At�nu4fie� ©1988-2016 ACORD CORPORATION. All ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD