HomeMy WebLinkAboutPDI NINTH HOUSE KORN/FERRY INTERNATIONAL - INSURANCE CERTIFICATE (2)AC"R" 0 DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 1 o31ov2ola
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).
PRODUCER CONTACT
Marsh Risk & Insurance Services _NAME:_
CA License #0437153 (A/C, N __ ____ __ _ a/c No):
777 South Figueroa Street E-MAIL
Los Angeles, CA 90017 ADDRESS
Attn: LosAngeles.CertRequest@Marsh.com / F:212-948-0535 INSURERS) AFFORDING COVERAGE NAIC #
J44390-STND-GAUW-17-18 INSURER A: Federal Insurance Company 20281
INSUREDPDINinth House INSURERS: National Union Fire Ins. Co. of Pittsburgh, PA 19445
Korn/Ferry International INSURER C :__
1900 Avenue of the Stars, Suite 2600
INSURER D
Los Angeles, CA 90067
INSURER E :
CnVFRAGFR CFRTIFICATF NUMBER! LOS-002131255-15 REVISION NUMBER:
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
ADD
JHM
VD
POLICY NUMBER
MM DPOLI CY EFF
D/YYYY1
POLICY EXP
(MMIDDIYYYYI
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
35894292
04/01/2017
04/0112018
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE lxl OCCUR
PREMISES Ea occurrence)
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
GENERAL AGGREGATE
$ 2,000,000
POLICY [ X] jE O FX ] LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
Combined Total Agg
$ 10,000,000
OTHER
A
AUTOMOBILE LIABILITY
73556722
04101/2017
04/01/2018
COMBINED SINGLE LIMIT
Ea accident)_
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
$
BODILY INJURY (Per accident)
PROPERTYDAMAGE
Per accident
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
Hired Comp/Coll Ded:
$ 1,000
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAB
DIED I I RETENTION $
$
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED)
(Mandatory in NH)
NIA
WCO25893702(AOS)
WCO25893703(CA)
WCO25893704 ME
( )
03/01/2018
03/01/2018
03/01/2019
03/01/2019
03/01/2019
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
_
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins, its officers, agents and employees is/are included as Additional Insured on both General Liability and Automobile Liability as required by written contract but limited to the operations of the Insured
under said contract.
f`GRTICIr`ATF Unit r1FR rANC'FI I ATION
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attn: Purchasing
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P.O. Box 580
ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
of Marsh Risk & Insurance Services
Eric Chua - -_r--
U 19BU-2016 ACORD CORPORA T ION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD