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Home My WebLink About502890 IBI GROUP US - INSURANCE CERTIFICATE (2)Client#: 47645 IBIGROUP ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY) 1/14/2016 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: Certificate Desk HUB International New England PHONE 978 657-5100 FAX, No): 866 475-7959 299 Ballardvale St {A/C, No, Ext): WC, nee.certificates@hubinternational.com Wilmington, MA 01887 978 657-5100 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: see page 2 see page INSURED INSURER B : IBI GROUP US INSURER C : 1401 17th St, Ste 610 INSURERD: Denver, CO 80202 INSURER E COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 IADDCSUBR _— _—_— - --- - -_- -- - - - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 7 -1COMMERCIAL GENERAL LIABILITY PREAGE TO R occur ante _ $___ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PE O LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 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 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? [N N/A Y 08WEEG7293 1/13/2016 01/13/201 X JWC ORYLI IT FIR E.L. EACH ACCIDENT $1 OOO 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1 ,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or Permit, and where permitted by Law. Endorsement WC990394 Blanket Notice of Cancellation to Certificate Holders. (See Attached Descriptions) City of Fort Collins Attn: Purchasing Dept. P.O. Box 580 Fort Collins, CO 80522-0000 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 ACORD 25 (2010105) 1 of 2 #S1532960/M1524764 V 19SS-ZU1U ACUKU GUKPUKAI IUN. All rights reserved. The ACORD name and logo are registered marks of ACORD MM003 DESCRIPTIONS (Continued from Page 1) Carrier listing and Item 3A States: Twin City Fire Insurance Company - NAIC#29459 (AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MT, NH, NE, NM, NV, (ND Stop Gap), (Ohio Stop Gap), OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, (WA Stop Gap), WI, WV, (WY Stop Gap). Hartford Underwriters Insurance Company - NAIC#30104 (MO, NC, NJ, TX) Property & Casualty Ins Co of Hartford - NAIC#29494 (NY) Sentinel Insurance Company Limited - NAIC#11000 (California) SAGITTA 25.3 (2010105) 2 Of 2 #S15329601M1524764