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HomeMy WebLinkAbout351548 US BANCORP - INSURANCE CERTIFICATE (4)CERTIFICATE OF LIABILITY INSURANCE 0M/015 Y) 7/17/2015AACC>R'" 7/1 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 1-612-333-3323 Hays Companies CONTACT NAME: Dawn DeBuhr PHONE FAX AIC No Ex : 612-333-3323 x 2284 {A/C No: 612-373-7270 80 South 8th Street E-MAIL ddebuhrOha scorn anies.com ADDRESS: Y P INSURER(S) AFFORDING COVERAGE NAIC# Suite 700 INSURER A: OLD REPUBLIC INS CO 24147 Minneapolis, MN 55402 INSURED INSURER B : U.S. Bancorp and its Subsidiaries INSURER C INSURERD: 200 South 6th Street INSURERE: EP-MN-L20I INSURERF: Minneapolis, MN 55402 COVERAGES CFRTIFICATF NIIMRFR- 44573846 RF\/ICI(1N NI IMRFR- 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. INTRR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DD/YYYLIC F MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X MWZY304842 08/01/15 108/01/16 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE -- I OCCUR DAMAGE ( RENTED PREMISESS Ea occurrence $ 1,000,000 MED EXP (Any one person) $ N/A PERSONAL & ADV INJURY $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY ❑JECT PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER: A AUTOMOBILE LIABILITY X MWTB304840 08/01/15 08/01/16 COBINED EaMaccident SINGLE LIMIT $ 5,000,000 X BODILY INJURY (Per person) _ $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS $ BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N MWC30483900 08/O1/15 08/O1/16 OT X STATUTE EERPER H E.L. EACH ACCIDENT $ 2,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured as respects general and automobile liability policies where required by writte contract. t..tK I IrIt-A I t MUwtK t:ANI:LLLA I IUN CON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gerry S. Paul 215 N. Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE pp� Fort Collins, CO 80524t USA 7 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ddebuhr , A. II. AG