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HomeMy WebLinkAbout551684 LION GROUP INC - INSURANCE CERTIFICATE (2)OR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/2/2015 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(les) 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: Commercial Lines - (513) 657-3116 PHONE TFAx (A/c, No Eat): AIC �: Wells Fargo Insurance Services USA, Inc. E-MAIL - ADDRESS: _ 720 East Pete Rose Way Suite 400 _ INSURER(S) AFFORDING COVERAGE NAIC N Cincinnati, OH 45202 INSURERA Travelers Indemnity Co. of Connecticut 25682 INSURED INSURERS: Travelers Property Casualty Co of America 25674 Lion Group, Inc. INSURERc: First Specialty Insurance Corporation 34916 7200 Poe Avenue INSURER DCharter Oak Fire Insurance Co. 25615 Suite #400 INSURER E : Dayton, Ohio 45414 INSURER F : COVERAGES CERTIFICATE NUMBER: 9647961 REVISION Nt1MRFR- See below 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 SUBR -- POLICY EFF POLICY -EX P LIMITS -- LT, POLICY NUMBER MM/DD/YYYY i MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Y6307AO68164TCT15 10/01/2015 ii 10/01/2016 EACH OCCURRENCE j 1,000,000 _ DAMAGES (RENTED PREMISES Ea occurrence _ $ 300,000 MED EXP (Any one person) _ $ 5,000 PERSONAL 3 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY � JE C LOC PRODUCTS - COMP/OP AGG $ 2,000.000 $ OTHER: B AUTOMOBILE LIABILITY Y-810-7A068164-15 10/01/2015 10/01/2016 COMBINED SINGLE LIMIT tE�a accidentL____, f 1-000,000 X ------- BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X _ PROPERTY DAMAGE Per accident s X NON -OWNED HIRED AUTOS AUTOS _ $ C UMBRELLA LIAB X OCCUR IRE2000138 03 10/01/2015 10/01/2016 EACH OCCURRENCE $ 10•000.000 X AGGREGATE $ 10,000,000 EXCESS LIAR CLAIMS -MADE $ DED RETENTIONS D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE YVYAO-UB-7A06816-4-15 All States except CA p 10/01/2015 10/01/2016 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A --- ---— E.L. DISEASE - EA EMPLOYEE ----- — $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Agreement No. 7566 (Poudre Fire Authority Uniforms) The City of Fort Collins is included as additionall insured for both General Liability and Automobile Liability as required by written contract. CtKIIt-IGAIt HOLUtK GANCELLATION The City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing Division ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street Second Floor AUTHORIZED REPRESENTATIVE Fort Collins, Colorado 80524 Q(,I 4-'1' The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 111111111111111111111 IN 11111111111111111111111111111111111111111111111111111111111111111111 'CYBO1 A02'003276/02/0210/0/0/0'