HomeMy WebLinkAbout165027 CDW GOVERNMENT LLC - INSURANCE CERTIFICATECOVERAGES
,a,<!<>pif CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDA/YYY)
09/30/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO 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), AUTHORIZEO
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSUREO provisions or be endorsed.
lf SUBROGATION lS 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 central, Inc.
chicago rL office
200 East nandol ph
chicago rL 60601 USA
NAME:
l-i3.'r.r.o.s,tr, G66) 283-7722 | l# n^,.
(800) 363-0105
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED
CDW Government LLC
230 North Milwaukee Ave
vernon Hills rL 60061 usA
TNSURERA: Travelers Property cas co of America 2567 4
INSURERB: The charter oak Fire rnsurance company 2 5615
tNsuRERc: The Phoenix Insurance company 25623
TNSURERD: r'loyd's syndicate No. 2623 qA1t-28623
INSURER E:
INSURER F:
R: REVISION NUMBER:
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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
No
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TYPE OF INSURANCE POLICY NUMBER LIMITS
C X I LLIABILITY coMMERcIAL GENERAL
I I crnrrls-uroe I x loccun
L_l
H66O 5D5 JO964PHX16
addendum
LO/OL/ zuLb LO/OL/ 2OL EACH OCCURRENCE $1
AGENCY CUSTOMER lD: 1-0227766
AS-<)Rb- ADDITIONAL REMARKS SCHEDULE LOC #: Page ot
AGENCY
Aon Ri sk servi ces central , Tnc.
NAMED
cDw GoveTnment LLC
see ce rti fi cate Number: 570063990670
see Cert'i fi cate Number: 570063990670
NAC CODE
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability lnsurance
commerc'i al General Liabi lity
commercial General Li abi'l ity
Pol i cy# H6605D53096aPHX16
State and Insu.er(s) Affording coverage
california Travelers property casualty company of America NArc# 25674
A'll other The phoenix rnsurance company NArc# 25623
The ACORD namo and logo are registercd marks otAGORD
, 000 ,000
PRFMISFS /Fa $r-, 000 ,000
MED EXP (Any one peEon) $10 ,000
PERSONAL & ADV INJURY $1 , 000 ,000
GEI!,1 AGGREGATE LIMIT APPLIES PER
leoL,c' lTl!$o; Tloc
OTHER:
GENERAL AGGREGATE $I , UUU, UUU
PRODUCTS - COMP/OP AGG $2 ,000,000
B AU'1
x
IOMOBILE LIABILITY
I nuv euro
OWNED
AUTOS ONLY
HIRED AUTOS
ONLY
SCHEDULED
AUTOS
NONOWNED
AUTOS ONLY
BA- 5D57054A- 16-TEC t0/07/20L t0 / 0t/ 2077 COMBINED SINGLE
LIMIT $1,000,000
BODILY INJURY ( Per peEon)
BODILY INJURY (Per accident)
PROPERry DAMAGE
X UTBRELLALIAB tItxIoccuR
EXcESSLAB | | cL,lrus-r,rnoe
HSUMCUP5D5 JO9bATILIb
srn applies per policy te
to/oL/20Le
rs & condi
LO/OL/20\7
i ons
EACH OCCURRENCE $5,000,00c
AGGREGATE $s,000,00c
DED x IRETENTToN
Retained Limit $10,00c
A
A
WORKERS COMPENSATION AND
EMPLOYERS'LIABTLITY Y/ N
ANY PROPRIE'OR / PARTNER EXECLJTTVE T;
oFFToEtuMEMBER EXcLUDED? I '
(Mandatory in NH)
lf yes, describe under
DESCRIPTION OF OPFEATIONS lc.l,ory
N/A
Tc2J UB11I7L616t6
AO5
TRJ UB1116166816
AZ, WI
ltJ/OL/ Z|JLI
t0/oL/2oLf
to/0]-/2017
\o/oL/20L7
-IPER I lo+
lqrar[TF I lEo
E L EACH ACCIDENT $1,000,00c
E,L DISEASE.EA EIUPLOYEE $1,000 ,00c
E.L DISEASE-POLICY LIMIT $1, 000 , 00c
D EEo-MPL- Pri mary w19A8C160201
srn applies per policy ter
10/0L/201t
rs & condi
L0/0L/zOL
i ons
A9g regate
SIR
$s,000,00c
$ s00 , 00c
DESCRtpTtON OF OPERATTONS / LOCATIONS / VEHICLES (ACORD l0l, Additional Remarks Schedule, may be attached it moE apace is Bquired)
The certificate holdelis included as Additional rnsured applicable to the Genera'l uiability and Auto Liability policies, where
required by written contract, regarding the activities of the Named rnsured'
-}=E J
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE wlLL BE DELIVERED IN ACCOROANCE WTH THE
POLICY PROVISIONS.
rort collins eolice oept
2221 rort s collins Timberline co 80522 Road usA -&@-/9,*%tu/9*
CANCELLATION
@1988-2015 ACORD CORPORATION. All rights reserved.
ACORDACORD 25 The ACORD name and logo are registered marks of
(2016/03)