HomeMy WebLinkAbout548994 KORN FERRY - INSURANCE CERTIFICATE (2)0
A4C40Rl7 CERTIFICATE OF LIABILITY INSURANCE
.. DATE (IaM/DO/YYYY)
04/01/2020
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
Marsh Risk & Insurance Services
CA License #0437153
633 W. Fifth Street, Suite 1200
Los Angeles, CA 90071
Attn: LosAngeles.CertRequest@Marsh.gom I R212-948-0535
CN103004981-STND-GAUW-20-21
CONTACT
NAME:.
PHONE FAX
AIC No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC d
INSURER A: Federal Insurance Company20281
INSURED
PDI Ninth House
INSURER e : National Union Fire Ins. Co. of Pittsburgh, PA
19445
Kom Ferry
INSURER C :
INSURER D :
1900 Avenue of the Stars, Suite 2600
Los Angeles, CA 90067
.INSURER E
.INSURER F.:
nC�Tro/nw TO. u1 NAC11CO. I f1CM912195L95 RFVLCI(l1Y milmmFm-
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 F SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS
LTR
TYPE OF INSURANCE
ADDL
SUBR
..
POLICYNUMBER
POLICY EFF
MM/DDIYYYY -
POLICY EXP
MM/DD/YYYY
- -
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
35894292
04/01120.20
04/0.112021
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE FX] OCCUR
ZENTED
PREMISES Ea occurrence
$ 1,000,000
MED.EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE.
$ 2,000,000
PRODUCTS - COMP/OP AGO.
$ 2.000,000
POLICY PR LOC
OTHER:
Combined Total Agg
$ 10.000,000
A
AUTOMOBILELIABILITY
73556722
04101/2020
0410112021
Ea accideCOMBINEOSINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
IX
PPReOPPEROe DAMAGE
$
Hired Comp/Coll Ded:
$ 1,000
UMBRELLA LJAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LULB
CLAIMS -MADE
DED I I RETENTION$
$
-
B
B
WORKERS COMPENSATION -
AND EMPLOYERS' LIABILITY YIN
OFFICE IMEMB REXC EXCLUDED? F
inN REXCLUDED9
(Mandatary in NH)
(Mandatory
If tea describe under
DESCRIPTION OF OPERATIONS below
NIA
WCO25893702 (ADS)
WCO25893703 (CA)
03/0112020
03/0112621
X :STATUTE ER
-
E.L. EACH ACCIDENT
$ 1,000,000
El. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
1,000,000
$ _ - -
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
City of Fort Collins, its officers, agents and employees is/are included as Additional Insured on both General Liability and Automobile Liability as required by mitten contract but limited to the operations of the Insured
under said contract.
City of Fat Collins
Attn: Purchasing
P.O. 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 Risk & Insurance Services
Eric Chua L ----
TION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD