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HomeMy WebLinkAbout554724 MAGELLAN ADVISORS LLC - INSURANCE CERTIFICATE (3)ACORO MAGEL-1 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 endorsements . PRODUCER 262-478-1000 CONTACT Diane Larson NAME: Bruce Gendelman Co., Inc. PHONE 2g2-478-1000 FAx 262-478-1001 Suite 101 A/c, No, Ext : �A/C, No): 500 W Brown Deer Rd AoRE : diarson@gendelman.com Milwaukee, WI 53217 _ INSURED Magellan Advisors, LLC Mr. John Honker 450 Alton Road #1402 Miami Beach, FL 33139 INSURER A: Phoenix Insurance Co 25623 INSURER B : Travelers Indemnity Company 25658 INSURER C : Travelers Indemnity of America 25666 INSURER D: Lloyd's of London INSURER E : Lloyd's NAIC# AA1122000 rnVFDAr_FC CFDTICIf ATF h1I IMRCD• 00%1101nwi wu uaoco. 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 SUB POLICY NUMBER POLICY EFF POLICY E7(P LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X] OCCUR Y 16608K446321 04/12/2018 04/12/2019 EACH OCCURRENCE 2,000,000 DAMAGE TO RENTED 300,000 MED EXP (Any oneperson) $ 51000 PERSONAL 8 ADV INJURY 2,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY ❑ j LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: A AUTOMOBILE LUU31LITY COMBINED SINGLE LIMIT (Ea accident) 2,000,000 $ BODILY INJURY Perperson) ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 16608K446321 W1212018 W1212019 $ $ _ INJURY Per accident X -BODILYBODILY AOra den DAMAGE AUTOS ONLY Ix AUTOS ONLY $ B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 11000,000 AGGREGATE 1,000,000 EXCESS UAB CLAIMS -MADE CUP8K473520 0411212018 04/12/2019 DED I X I RETENTION $ 5,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? �N (Mandatory in NH) NIA UB81<601189 04/12/2018 W12/2019 X PER OTH- A LITE E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 D PROFESSIONAL LIAB B0621PMAGE000818 04/12/2018 04/12/2019 EA CLAIM 2,000,000 $25,000 DEDUCTIBLE AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins, its officers, agents and employees are included as additional insured under general liability coverage as required by written contract or agreement. CITF005 City of Fort Collins 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 itu4-L -'A"iri 9^_ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD