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HomeMy WebLinkAboutCARRIER CORPORATION - INSURANCE CERTIFICATE (10)13598 A'COR�® v CERTIFICATE OF LIABILITY INSURANCE DATE /) 03/23/23/20162016 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 MARSH USA INC. 20 CHURCH STREET HARTFORD, CT 06103 CONTACT NAME' (A CNNo Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Hartford Fire Insurance Company 19682 INSURED CARRIER CORPORATION INSURER B :National Union Fire Insurance Company of Pittsburgh, PA 19445 INSURER C :New Hampshire Insurance Company 23841 ONE CARRIER PLACE FARMINGTON, CT 06034-4015 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:4GUDC6ZX 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. INSR LTR I TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY _ LIMITS A X COMMERCIAL GENERAL LIABILITY 02CSET10004 04/01/2016 04/01/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR $2,000,000 general agggregate per location/project $10,000,000 policy general aggregate DAMAGE TO RENTE15- PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY ANY AUTO 02CSET1000CI A/Q) 02CSET10019(HI) Hartford Underwriters Ins 04/01/2016 04/01/2017 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR 02HUT10021 04/01/2016 04/01/2017 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPMSEN A TIOI N Y / N AND ANY PROPRIETOR/PARTNER/EXECUTIVE OFFIC ER/MEMBER EXCLUDED? � N /A CT WC-(( S 519203, )EX COV-6583040 MULTI-015519204, CA-015519205, FL-015519206, MULTI-015519207, 04/01/2016 04/01/2017 X TATRUTE OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below MN-015519208, NJ-015519209, PA-015519210, MULTI-015519211, MA-015519212 E.L. DISEASE - POLICY LIMIT $ 1,000,000 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CONTRACTORS LICENSE 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 P.O. BOX 580� FORT COLLINS, CO 80522 Page 1 of 1 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD