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HomeMy WebLinkAbout404702 COPLOGIC INC - INSURANCE CERTIFICATE (4)A� o CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) D,,D62D,8 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 Aon Risk Services Northeast, Inc. Boston MA office CONTACT NAME: (A/C No. Ext): (866) 283-7122 FAX No ): (600) 363-0105 E-MAIL ADDRESS: One Federal Street Boston MA 02110 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich Insurance Plc AA1780059 CODlogic, a RELX Inc Company 231 Market Place Suite 520 INSURER B: American Guarantee & Liability Ins Co 26247 INSURER C: ACE American Insurance company 22667 San Ramon CA 94583 USA INSURERD: Lloyd's Syndicate No. 2987 AA1128987 INSURERE: Lloyds Syndicate No. 2623 AA1128623 INSURER F: COVERAGES - CERTIFiCATE NUMBER: 570060875686 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. 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY OGLG EACH OCCURRENCE $1,000,000 CLAIMS -MADE x OCCUR PREMISES Eaoccumence $1,000,000 MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑JEa FILOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY 8376848 17 01/01/20160110112017 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident Comprehensive Deduct $1,000 A UMBRELLA LIAB X OCCUR WS1600029 12/31/2015 12/30/2016 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $5 , 000, 000 DED RETENTION B B WORKERS COMPENSATION AND EMPLOYERS'LWBILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N / A 837684517 203805718 OH 01/01/2016 01/01/2016 01/01/2017 01/01/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 E E&O-PL-Primary QK1504205 12/31/2015 12/30/2016 Aggregate $3,000,000 SIR applies per policy terms & conditions Per Occurrence $1,000,000 SIR $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached R more space Is required) City of Fort Collins is added as additional insured on the General Liability subject to the policy limitations, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE 300 LaPorte Ave Fort Collins CO 80521 USA c`�'l.Alf/G�GGttrct�Oc//�LGfa�d�e-/9sct O Z l0 A O W 1= U ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD