HomeMy WebLinkAbout568938 HUB INTERNATIONAL INSURANCE SERVICES INC - INSURANCE CERTIFICATE (2)A� ® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYYY)
4/3030/2018
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 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
Hub International Northeast Limited -NY
1065 Avenue of the Americas/
5 Bryant Park
New York NY 10018
CONTACT
NAME:
PHONE 212-33&2000 FA/C No:212-338-2100
A/c Egli:
E-MAIL
L
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Zurich American Insurance Co.
16535
INSURED 021071
Hub International Limited
c/o Hub International N.E. Limited
1065 Avenue of the Americas
INSURER B : Chubb IndemnAy Insurance Company
12777
INSURER C :
INSURER D :
New York NY 10018
INSURER E :
INSURER F :
. ne.�u .0 uaoco.
COVERAGES 6Ct(I If 11+A I C 19 VIYIO GR. i i i vvv� * — - -
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 R
LT
A
TYPE OF INSURANCE
X COMMERCIAL GENERAL LIABILITY
� �
CLAIMS -MADE OCCUR
ADDL'SUBR
POLICY NUMBER
GLO5472010-05
POLICY EFF
MM/DDIY
6/1/2017
POLICY EXP
MM/DD/YYYY
6/1/2018
LIMITS
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
GENERAL AGGREGATE
$ 2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PRO LOC
JECT
PRODUCTS - COMP/OP AGG
$ 2,000,000
Host Liquor Liab.
$1,000,000
A
OTHER:
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWSCHEDULED
AU- S AUTOS
NON -OWNED
HIRED AUTOS AUTOS
BAP5472012-05
6/1/2017
6/1/2016
COMBINED SINGLE LIMIT
Ea accident
$1 000 000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident)$
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$
B
B
DED I RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE j�
7175-19-47 All States except CA
7176-35-33 California only
11/1/2017
11/1/2017
11/1/2018
11/1/2018
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
11,000,000
OFFICER/MEMBER EXCLUDED? ��J
(Mandatory in NH)
N / A
If yes, describe under
DESCRIPTION OF OPERATIONS below
E-L. DISEASE -POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
The City, its officers, agents and employees are named as additional insureds on General Liability and automobile liability where required by written contract.
FIGATt
City of Fort Collins
Attn: Purchasing Dept.
PO 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
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ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD