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HomeMy WebLinkAbout535458 CHEMTRADE CHEMICALS US LLC - INSURANCE CERTIFICATE (2)7 ® DATE (MMIDDNYYY) AC"Rla CERTIFICATE OF LIABILITY INSURANCE 05/07/2018 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 have ADDITIONAL INSURED provisions or 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). CONTACT PRODUCER NAME:_ -- Marsh USA, Inc. IPHONE FAX 9830 Colonnade Blvd, Suite 400 C No. Ext1: _ A/c Not: San Antonio, TX 78230 E-MAIL 4DDRESS: CN 102200184-STND-GAWU L-18-19 INSURED Chemtrade Holdco US Inc 90 E Halsey Road Parsippany, NJ 07054 INSURERS AFFORDING COVERAGE NAIC # RER A: Allianz Global Risks US Insurance Company RER B Liberty Mutual Insurance Company 23043 RER C : N/A N/A INSURER E: INSURER F uni I nn19n1AAd_nr, RFVISIr)M NI IMRFR• .5 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 Ty PE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY USL00049318 05/01/2018 05/01/2019 EACH OCCURRENCE $ 5,000,000 DAMA E TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS -MADE � OCCUR SIR - $100,000 MED EXP (Any one person) $ 5,000 X PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO El LOC X JECT GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG $ 5,000,000 g OTHER AUTOMOBILE LIABILITY AS1-B71-072790 068 05/01I2018 05101/2019 COMBINED SINGLE LIMIT Ea accident $ 1000 000 BODILY INJURY (Per person) $ B X ANY AUTO AS1-B71-072790-078 05/01/2018 05/01/2019 BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION X PSER OTH- TATUTE ER $ B WA2-B7D-072790-088 05/01/2019 E.LEACH ACCIDENT . $ 1,000,000 B AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC2-B71-072790-018 05/01/2018 05/01/2019 E L DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, agents and employees included as additional insured (except Workers Compensation) where required by written contract. CERTIFICATE HULDth City of Fort Collins 215 North Mason Street Fort Collins, CO 80521 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 USA Inc. Manashi Mukherjee \:l I Aop-.1. ... ..... _. - _. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD