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HomeMy WebLinkAbout603670 RTI INTERNATIONAL - INSURANCE CERTIFICATE (3)A ORO� CERTIFICATE OF LIABILITY INSURANCE DATE(3 2/DUD1NYYY) 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 Aon Risk Services south, Inc. Charlotte NC office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Ext): (A/C. No.): E-MAIL ADDRESS: 1111 Metropolitan Avenue, Suite 400 Charlotte NC 28204 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Midwest Employers Casualty Company 23612 INSURERB: Continental Casualty Company 20443 RTI international 3040 Cornwallis Rd PO Box 12194 INSURER C: valley Forge Insurance CO 20508 INSURER D: American Casualty Co. of Reading PA 20427 Research Triangle Park NC 27709-2194 USA INSURERE: National Fire Ins. Co. of Hartford 20478 INSURERF: The Continental Insurance Company 35289 COVERAGES CFRTIFICATF NUMBER: 570070425928 REVISION NUM6EK: 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY 1 Y MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY 06/01/2o17ZT7717= EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑ OCCUR A N PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $15 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 POLICY ❑ PRO 7 LOC JECT OTHER C AUTOMOBILE LIABILITY 4034978456 06/01/2017 06/01/2018 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY IXX PROPERTY DAMAGE (Per accident $1,000 Coll Ded X $1,000 Comp Ded UMBRELLA LAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED I RETENTION F E D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA WC434978361 wc434978215 WC434978151 06/01/2017 06/01/2017 06/Ol/2017 06/01/2018 06/01/2018 06/Ol/2018 XTE EORH STATU E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE POLICY LIMIT Each Claim Aggregate Limit $1,000,000 $1,000,000 $1,000,000 G If yes, describe under DESCRIPTON OFF OPERATIONS below E&O-MPL-Primary W1B95B170201 E&o Claims Made 06/01/2017 06/01/2018 SIR applies per policy ter s & condi ions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Fort Collins, CO AUTHORIZED REPRESENTATIVE Attn: Purchasing Department Po Box 580 Fort Collinsli Co 80522 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD m C m CD d 6 2 00 In m 0 0 0 O Z D) l0 V w. i= d O AGENCY CUSTOMER ID: 570000061132 LOC #: A ADDITIONAL REMARKS SCHEDULE Paqe _ of AGENCY NAMED INSURED Aon Risk Services South, Inc. RTI International POLICY NUMBER see certificate Number: 570070425928 CARRIER NAIC CODE See certificate Number: 570070425928 1 EFFECTIVE DATE: AUDITIUNAL REMARKS ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD