HomeMy WebLinkAbout683320 OLIN PARTNERSHIP LTD - INSURANCE CERTIFICATE (2)A� V CERTIFICATE OF LIABILITY INSURANCE
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3/26/2620
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 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
CONTACT
NAME: Christina Golden
PHONE (215)784-9922 FAXExtl:(JVCNo): (215)1e4-9944
Fonner Insurance Associates
1544 Old York Road
E-MAIL egolden@fonnerinsurance.com
ADDRESS:
INSURE S AFFORDING COVERAGE
NAIC.I0
P.O. BOX 467
INSURER A: American Fire and Casualty CompanV
24066
Abington BA 19001
INSURED
INSURERB:The Ohio Casualty Ins. Co.
24074
-INSURERC:
Olin Partnership, Ltd.
.INSURERo:
Public Ledger Building Ste 1123
INSURERE:
150 S. Independence Mall.West
INSURERF:
Philadelphia PA 19106
COVERAGES CERTIFICATE NUMBER:4/20-21 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. NOTWTHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITHI 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 CONDITIONSDF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
INSR
LTR
TYPE OF INSURANCE
ADDL
-
SUBR-
POLICY NUMBER
POLICY EFF'
MMIDDM/YY
'POLICY.EIP'
MWDDIYYYY
LIMITS
X
COMMERCtALGENERALuABHurm
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE F OCCUR
E TO RENTED
PREMISES Ea occurrence
$ 306,000
MED EXP (Any one Person)
$ 10, 000
X
BW158442388
4/1/2020
4/1/2021
PERSONAL BADV INJURY
$ 1,000,000
GEN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$ 2,006,000
POLICY ElJECOT LOC
PRODUCTS-COMPIOPAGG$
2,000,000
Employee Benefits
S 1,000,000
OTHER:
.AUTOMOBILE LIABILITYEa
COMBINED SINGLE LIMI
accde-nt
$ 1 , 000, 000
BODILY INJURY (Per Person)
S
A
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X
BAJL58442388
4/1/2020
4/1/2021
BODILY IIJJURY (Per accident)
$
PROPERTY DAMAGE'"
Per acciderrt
$
NON -OWNED
x HIRED AUTOS M AUTOS
x
UMBRELLA LUU$
x
OCCUR
EACH OCCURRENCE
$ "10,000,000
AGGREGATE
$ 10,000,000
B
EXCESS LIAR
I CLAMS -MADE
DED I X I RETENTION .$ 10,000
$
X
US058442388
4/1/2020
4/1/2021
B
WORKERS COMPENSATION
-- --
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE Y❑NIA
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
XMD58442388 (PA)
XNS58442428 CA
4/1/2020
d/1/2020
4/1/2021
4/1/2021
X PE OTH-
STATUTE ER
E.L. EACH ACCIDENT
_
S 1,000,000
E.L. DISEASE - EA EMPLOYEE
- -
$ 1,000 000
E.L. DISEASE -POLICY LIMIT
$ 1 000. 000.
If yes, describe. under
DESCRIPTION OF OPERATIONS below
A
Buainesa.Perao"I .Property
BKA58442388
4/1/2020
4/1/2021
Special Form - $1,862-,193
Dad $5,000
DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 701, Additional Rerrorka ScAedule, may be atGeMd H more apace is required)
Project: 8956 Parks and Recreation Policy Plait Update
The City of Fort Collins, CO, its officers; agents and employees are additional insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE' DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins Colorado
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Attn:. Purchasing Dept.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins, CO 8052Z
C Golden/CHRIS i.�•w,vy,+.q %�"I'"'a`r,
ACORD 25 (2014101)
INS025 (201401)
V 18tl9-ZU14 AGUKU GUKf'UKAI IUN. All ngnrs reservea.
The ACORD name and logo are registered marks of ACORD