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HomeMy WebLinkAboutCHEMTRADE HOLDCO US INC - INSURANCE CERTIFICATECw CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02,1312018 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 USA, Inc. NAME: PHONE FAX 9830 Colonnade Blvd, Suite 400 (A/C, No. ExtJ: _ A/c No : San Antonio, TX 78230 EMAIL �' CN 102200184-STND-GAWU L-17-18 INSURED Chemtrade Holdco US Inc 90 E Halsey Road Parsippany, NJ 07054 INSURER D : INSURER E : rnVFRerFA rFRTIFIreTF NIIMRFR• HnII-nn39n1884-05 RFVIRInN1 NIIMRFR• 4 23043 N/A 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 SUER POLICYNUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CGL2008945 05/01/2017 05/01/2018 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE FxI OCCUR IMAGE TO 1ENTE1 PREMISES Eaoc urrencil $ 100,000 X MED EXP (Any one person) $ 5,000 SIR - $100,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER: B AUTOMOBILE LIABILITY ASI-871.072790-067 (AOS) 05/01/2017 05/01/2018 BINED SINGLE LIMIT COMEaacdnt ci e $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO AS1-B71-072790-077 (CA) 05/01/2017 05/01/2018 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED 17 RETENTION $ $ B .WORKERS COMPENSATION AND EMPLOYERS' LIABILITY g Y / N OFFICER/MEMBER ANYPROEXCLUDED? ECUTIVE � (Mandatory in NH) NIA WA2-B7D-072790-087 WC2-B71-072790 017 05101I2017 05/01/2018 05I01I2018 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below 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) The City, its officers, agents and employees included as additional insured (except Workers Compensation) where required by written contract. rGATICIrATG unl nrR rn NrFl I ATInN City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 215 North Mason Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, CO 80521 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee U 1933-2016 ACURD CURPUKA I IUN. All rights reserveo. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD