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HomeMy WebLinkAboutCOGENT INC - INSURANCE CERTIFICATE (9)ACORCI® CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) 03I23/2018 /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). PRODUCER Marsh USA Inc. CONTACT NAME., PHONE A/C No): One Towne Square, Suite 1100 Southfield, MI 48076 Attn: DetroitGroupCapbve.CertRequest@marsh.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 CN1 19262320--GAWUC-1 7-19 INSURED Cogent, Inc., INSURER B : Travelers Property Casualty Co. of America 25674 INSURER C : American Zurich Insurance Company 40142 Automatic Engineering, Fluid Equipment, LLC, BRI, Catalyst, Liberty Facility, LLC, iME Solutions, Lee Mathews, INSURER D : NIA N/A Vanco, Vandevanter Engineering, Water Technology Group - 318 Broadway St. INSURER E : Kansas City, MO 64105 INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-008732256-04 REVISION NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY) POLICY EXP tMMIDDIYYYYJ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GLO1060782-01 04/01/2018 04/01/2019 EACH OCCURRENCE $ 1,000,000 RENTE PREM PREMISES Ea occurrence $ 500 000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BAP1060783-01 (COML) BAP1060784-01 (PP) 04/01/2018 04/01/2018 04/01/2019 04/01/2019 Ee aBINEDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident _ $ X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP61M83930-18NF 04/01/2018 04/01/2019 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED X RETENTION $ 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC1060781-01 Does not apply to the Monopolistic States (ND, OH, WA, and WY), Puerto Rico, or the Virgin Islands 9 04/01/2019 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 / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins, CO are included as additional insured for General Liability and Auto Liability as required by written contract or written agreement, per policy terms and conditions. City of Fort Collins, CO Beth Diven PO Box 580 Fort Collins, CO 80522 M-1 1�L"a1111A_1 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. John C Hurley ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD