HomeMy WebLinkAboutPDI NINTH HOUSE KORN/FERRY INTERNATIONAL - INSURANCE CERTIFICATE (3)ACORD�
C CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
0310112018
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
Marsh Risk & Insurance Services
CA License #0437153
CONTACT
NAME: ----
ONE
PHA Ext): - A/C, Noll:
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE NAIC #
777 South Figueroa Street
Los Angeles, CA 90017
Attn: LoSAngeles.CertRequestl@Marsh.com I F:212-948-0535
J44390-STND-GAUW-17-18
___-_
INSURER A : Federal Insurance Company
20281
_
INSUREDPDI Ninth House
INSURER B : National Union Fire Ins. Co. of Pittsburgh, PA
19445 _
Korn/Ferry International
INSURER C :
_
INSURER D :
1900 Avenue of the Stars, Suite 2600
Los Angeles, CA 90067
-
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMBER: LOS-002131212-14 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 VVITH 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
lNqn
SUBR
WVn
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FX] OCCUR
35894292
04/01/2017
04/01/2018
EACH OCCURRENCE
$ 1,000,000
PREMISES Ea oNcur ence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JEC LOC
OTHER
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
—
$ 2,000,000
Combined Total Agg
$ 10 000,000
AUTOMOBILE LIABILITY
A
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY tPer person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
—
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION $
$
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ECUTIVE
OFFICER MEMBER EXCLUDED?N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
WCO25893702(AOS)
WCO25893703 (CA)
WCO25893704 (ME)
03/01/2018
03/01/2018
03/01/2019
0310112019
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
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins
Attn: Purchasing
P.O. 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
of Marsh Risk & Insurance Services
Eric Chua
U 1988-2016 ACORD GORPOKA I ION. All rights reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD