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HomeMy WebLinkAbout351548 US BANCORP - INSURANCE CERTIFICATE (3), I CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06123/2015 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 Marsh USA Inc. NAME: 333 South 7th Street, Suite 1400 PHONE Exn: _ _ FAX Minneapolis, MN 55402-2400 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # J 18190-STND-$25M-14-15 INSURED U.S. BANCORP AND ITS SUBSIDIARIES 200 S. 6th STREET EP-MN-L201 MINNEAPOLIS, MN 55402 A: INSURER D : I I INSURER F: I I Cn\/9=l]Al2FC CFRTIGIr ATF IJI IlUll CHI-006194022-06 RFVISIOKI NIIMRFR- 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 INSREXP LTR TYPE OF INSURANCE ADDL SWVD UER POLICY NUMBER -POLICY EFF MMIDD/YYYY POLICY DD/YYYY MM LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR PREM SES (Ea occurreTEDnce $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PRO- JECT E LOC PRODUCTS - COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident)$ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE N IN/A OFFICER/MEMBER EXCLUDED? PER STATUTE I ERH E.L. EACH ACCIDENT $ (Mandatory in NH) E.L DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below ERRORS & OMISSIONS See Additional Page Limit: $25,000,000 FI BOND (CRIME) See Additional Page Limit: $25,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (:tK I If-IL;A I t HULUtK 1,ANt r_LL.A I IUIV City of Fort Collins Attn:Jerry Groves 215 N. Mason Street, 2nd Floor 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. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee 3a w c+a .N4�+v� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: J18190 LOC #: Minneapolis Ac"? aR ® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. U.S. BANCORP AND ITS SUBSIDIARIES 200 S. 6th STREET EP-MN-1-201 POLICY NUMBER MINNEAPOLIS, MN 55402 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance ERRORS & OMISSIONS Carrier: Indian Harbor Insurance Company Policy Number: ELU135216-14F Policy Term: 08/0112014 - 11/15/2015 Limit: $15,000,000 Carrier: Ironshore Specialty Insurance Company Policy Number: 002110300 Policy Term: 08/01/2014 - 11/15/2015 Limit: $10,000,000 FI BOND (FIDELITY/CRIME) Carrier: Indian Harbor Insurance Company Policy Number: ELU135216-14G Policy Term: 08/0112014 - 11/15/2015 Limit: $15,000,000 Carrier: Ironshore Specialty Insurance Company Policy Number: 002109500 Policy Term, 08/01/2014 - 11/15/2015 Limit: $10,000,000 ACORD 101 (2008/01) V 2008 AGOKU cvKP(JKAIIUN. Ali rlgnts reservea. The ACORD name and logo are registered marks of ACORD