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HomeMy WebLinkAboutTHE HUMANE SOCIETY OF THE US - INSURANCE CERTIFICATEClient#: 362333 49HUMANSOC ACORD,. CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD/YYYY) a/06/2016 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 BB&T Insurance Services, Inc PHONE A/c No EXt : 703 352-2222 A/C, No): 866-925-7123 3975 Fair Ridge Dr, Suite 110 E-MAIL Fairfax, VA 22033-2924 ADQRESS: 703 352-2222 INSURER(S) AFFORDING COVERAGE NAIC # INSURED The Humane Society of the United States 700 Professional Drive Gaithersburg, MD 20879 E: Federal Insurance Company 20281 American Guarantee & Liability 26247 United States Fire Insurance Co 91113 COVERAGES cco'rtcirrATE uuuore. 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 iADDL TYPE OF INSURANCE i1NSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYYJ_ POLICY EXP MMMD/YYYY LIMITS A GENERALLIABILITY XI COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 ^; OCCUR 36019560 10101 /2014 06/01/2016 EACH OCCURRENCE $1,000,000 _ DAMAGFETO RENTED-- ' S Ea occurrence _ $1,000,000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1,000,000 $2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER ! POLICY IPE LOC PRODUCTS - COMP/OP AGG $1,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO _ ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS 73584903 10/01/2014 06/01/201 Ea aB tleD SINGLE LIMIT $1,000,000 $ '--- _ - $ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE AUC017158901 6/01/2015 06/01/201 EACH OCCURRENCE $25 OOU OOO AGGREGATE $25 000 000 DED X RETENTION SO $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NTORYLIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4087265229 6/01/2015 06/01/2016 X WC STATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: Lemay Prairie Dog Relocation Project - Dates: 04/15/16 - 11/01/16 The City of Fort Collins is included as an additional insured with respect to General Liabiilty and Automobile Liability coverages. A waiver of subrogation applies in favor of the additional insured with respect to General Liability, Automobile Liability and Workers Compensation coverages. I11L•A14111 ii1 City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1745 Hoffman Mill Road ACCORDANCE WITH THE POLICY PROVISIONS. P. O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ,fit t A:%Ja C4 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S15972917/M14215993 CG3