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582114 VECTOR DISEASE CONTROL INTERNATIONAL LLC - INSURANCE CERTIFICATE (3)
1 DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 03/23/2018 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 1-404-439-8000 CONTACT NAME; Certificates Atlanta Integro USA Inc. PHONE FAX C. NO E48 404-439-8000 No;404-439-8001 dba Integro Insurance Brokers EE--MAIL 200 Glenridge Point Parkway ADDRESS: Cortificate"tlantaQintegrogroup.com Suite 400 INSURE S AFFORDING COVERAGE NAIC9 Atlanta, GA 30342 INSURER A:ACE AMER INS CO 22667 INSURED INSURERB: OLD REPUBLIC INS CO 24147 VECTOR DISEASE CONTROL INTERNATIONAL, LLC ACE PROP A CAS INS CO 20699 RENTOXIL NORTH AMERICA, INC. (REN461) INSURERC: 1320 BROOKWOOD DR. STE H INSURERD: ALLIANZ UNDERWRITERS INS CO 36420 INSURER E : (LITTLE ROCK, AR 72202-1412 1INSURER F: COVFRAGFS CERTIFICATE NUMRFR- 52354721 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 LTN TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDDIYYYY POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY OGLG27240331 10/01/17 10/01/18 EACHOCCURRENCE i 5,000,000 CLAIMS -MADE L—]OCCUR RENTED PREMISES Eeoccurrence $ 5,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 5,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 GEN'L X POLICY JET lxl LOC PRODUCTS -COMPIOPAGG $ 5,000,000 $ OTHER: B AUTOMOBILE LIABILITY MWTB311136 10/01/17 10/01/18 COMaccidentBINEDSINGLE LIMIT Ea S 2,000,000 BODILY INJURY (Per person) S X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) i PROPERTY DAMAGE P. $ _ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S C X UMBRELLA LIAO X OCCUR XOOG27239420 10/01/17 10/01/18 EACH OCCURRENCE $ 5,000,000 AGGREGATE EXCESS LIAO CLAIMS -MADE $ 5,000,000 DIED RETENTIONS 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE D OFF ICER/ME MBER EXCLUE (Mandatory In NH) NIA NWC311135 10/01/17 10/01/18 X SSTTATUTE RH E.L. EACH ACCIDENT - $ 2,000,000 E.L. DISEASE - EA EMPLOYEE S 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D Contractors Pollution U5L00010318 04/01/18 04/01/19 Each Incident/Agg 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is required) The City, its officers, agents and employees, to the extent required by written contract, are additional insured on a primary and non-contributory basis. A waiver of subrogation applies in favor of the additional insured to the extent required by written contract as allowed by applicable law. 30 day notice of cancellation, except 10 days for non-payment of premium, applies to the extent required by written contract. 1,1kIg1,CLLA I IVM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 p k" USA(ClILCt ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Keisha.McDonald@integrogroup.com_ATL 52354721 tV LL. O rV rn rn (V