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