HomeMy WebLinkAbout554724 MAGELLAN ADVISORS LLC - INSURANCE CERTIFICATE (2)MAGEL-1
DATE(MM/DDnYYY)
04/02/2020_
ACOR®-
CERTIFICATE OF LIABILITY INSURANCE
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 I 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 endomemen s .
PRODUCER . 262.478-1000
Bruce Gendelman Co., Inc.
Suite 101
N ACT Diane Larson
PHONE 262 478-1 OOO Fax 262-476-1001
ArC, No, Est : , No
500 W Brown Deer Rd
jVgLE . dia�rsqn@gendelman.com
Milwaukee, WI 53217
INSURERS AFFORDING COVERAGE
NAIL C
INSURER A: Phoenix Insurance Co
25623
INSURED
Magellan Advisors, LLC
Mr. John'Honker
450 Alton Road #1402
Miami Beach, FL 33139
INSURER B : Travelers Prop Cas Co of Amer
25674
INSURER C: Travelers Indemnity of America
25666
INSURER D : Lloyd's of London
INSURER E :
.INSURER.F.: _.
Cr1VFDAMCB CcoTtCtCATc Lit tuinco. 0=1101 tar art ruocn.
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
TYPE OF INSURANCE
ADOL
SUB
POLICY NUMBER
POLICY EFF
POLICY EXP
04/12/2021
LIMBS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE [X] OCCUR
X
1660BK446321
04/12/2020
EACH OCCURRENCE
g 2,000,000
DAMAGE TO RENTED
PREMISES cccuMED
300,000
EXP (Any onePerson)
5,000
PERSONAL B ADV INJURY
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY Me LOC
THER:
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMP/OP AGG
4i000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
yy- -
AUTOS ONLY X AUTOi ONLD
16608K446321
04/1212020
04/1212021
COMBINED SINGLE LIMIT
21000,000
BODILY INJURY Per arson
$
BODILY INJURY Per accident
$
X
P'rr esiCe tDAMAGE
$
B
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
CUPBK473520
04/12/2020
04/1212021
EACH OCCURRENCE
$ 3,000,000
AGGREGATE
$ 3,000,000
DEO I X I RETENTION$ 5,000
C
WORKERS COMPENSATION
AND EMPLOYERS' WIBILnY
ANY PROPRIETORIPARTNER/EXECUTIVE YIN
F1,000,000
F
MFICanOaMgEIn NH)) EXCLUDED?
I yas, tleambe under
DE RIPTI F OPERATIONS below
NIA
A
UBBK6011892042E,
04I1212020
04/12I2021
X PER OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
1,000,006
$
E L QISFASF _LIMIT
POLICY
S 1.000,000
D
PROFESSIONAL-LUAB
$25,000 DEDUCTIBLE
B0621PMAGE000820
04/12/2020
04/1212021
EA CLAIM
AGGREGATE
2,000,000
2,000,000
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 are included as
additional insured under general liability coverage. as required by written
contract or agreement
CITF005
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, _NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580 -
Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE
I
ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All riahts reserved
The ACORD name and logo are registered marks of ACORD
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