HomeMy WebLinkAboutPDI NINTH HOUSE KORN/GERRY INTERNATIONAL - INSURANCE CERTIFICATEAco ® CERTIFICATE OF LIABILITY INSURANCE
ATE
D04/01/2016DnYYY)
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 Risk & Insurance Services
CA License #0437153
777 South Figueroa Street
Los Angeles, CA 90017
Attn: LosAngeles.CertRequest@Marsh.com I F:212-948-0535
J44390-STND-GAUNT-16-17
CONTACT
NAME:
PHONE FAX
c No):
Extl' (AC,
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Federal Insurance Company
20281
INSURED
PDI Ninth House
Korn/Ferry International
INSURER B :
INSURER C :
1900 Avenue of the Stars, Suite 2600
INSURER D :
INSURER E
Los Angeles, CA 90067
INSURER F :
rc�T1�1r•Arc wl IMRF{?• LOS-001/194b5-US KtViSIUN NUMBER:
I,V vCR/1UCJ vu� a v.-.. ...+.....�...
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 -
ILTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
35894292
04/01/2016
04/01/2017
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 1,000,ODO
CLAIMS -MADE LX-1 OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY ❑X PRO- X❑ LOC
JECT
Combined Total Agg
$ 10,000,000
A
OTHER.
AUTOMOBILE LIABILITY
73556722
04/01/2016
04/01/2017
COEaMaccBINEDident SINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
-
ALL OWNED SCHEDULED
AUTOS AUTOS
X NON -OWNED
LX HIRED AUTOS AUTOS
PPROPPERdT n DAMAGE
$
Hired Comp/Coll Ded:
$ 1,000
UMBRELLA LAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
WORKERS COMPENSATION
X PER OTH-
STATUTE ER
$
A
71732908
04101/2016
0410112017
E.L. EACH ACCIDENT
$ 1,000,000
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes desoibe under
DESCRIPTION OF OPERATIONS below
N I A
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins, its officers, agents and employees is/are included as Additional Insured on both General Liability and Automobile Liability as required by written contract but
limited to the operations of the Insured under said contract.
MULUtK
City of Fort Collins
Attn: Purchasing
P.O. Box 580
Fort Collins, CO 80522
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
of Marsh Risk & Insurance Services
Eric Chum
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
ACORO CERTIFICATE OF LIABILITY INSURANCE
164�-"
DATE (MM/DD/YYYY)
04/01/2016
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
Marsh Risk & Insurance Services
CA License #10437153
777 South Figueroa Street
Los Angeles, CA 90017
Attn: LosAngeles.CertRequest@Marsh.com / F:212-948-0535
J44390-STND-GAUW-16-17
CONTACT
NAME:
- — -
PHONE FAx
o tY A/C No):
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC N
INSURER A: Federal Insurance Company
20281
INSURED
PDI Ninth House
INSURER B :
Korn/Ferry International
INSURER C :
INSURER D :
1900 Avenue of the Stars, Suite 2600
Los Angeles, CA 90067
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER' LOS-001715444-07 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
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE EX-1 OCCUR
35894292
04/01/2016
0410112017
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER.
POLICY 111 PRO -CT LOC
OTHER.
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS -COMP/OP AGG
$ 2,000,000
Combined Total Agg
$ 10,000,000
AUTOMOBILE LIABILITY(Ea
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
r— HIRED AUTOS AUTOS
1
1
COM
accc dentSINGLE LIMIT
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
_
DEC, RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE N
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
71732908
04/01/2016
04/0112017
X STATUTE ORH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
L
City of Fort Collins
Attn: Purchasing
P.O. Box 580
Fort Collins, CO 80522
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
of Marsh Risk & Insurance Services
Eric Chua—w
V Tytf tf'2UT4 HI.VI[U IiVKYVRAI1V ry. NII rIg 11W ICJCIYCII.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD