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HomeMy WebLinkAbout404702 COPLOGIC INC - INSURANCE CERTIFICATE (5)A �® CERTIFICATE OF LIABILITY INSURANCE 70,1102D0 8�) 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 Northeast, Inc. Boston MA Office CONTACT NAME: (A//C.N o. Ext): (866) 283-7122 iwC No) (800) 363-0105 E-MAIL ADDRESS: One Federal Street Boston MA 02110 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Zurich American Ins CO 16535 CODlooic, a RELX Inc COmnanv INSURER B: ACE American Insurance Company 22667 231 Market Place Suite 520 INSURERC: Zurich Insurance Plc AA1780059 INSURERD: Lloyd's Syndicate No. 2623 AA1128623 San Ramon CA 94583 USA INSURER E: INSURER F: COVERAGES CERTIFIGAi E NUMBER: 570069799639 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. Limits shown are as requested LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER MMIDD[YYYY MWDWYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY OGLG 4 1 01/01/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $1,000,000 GENIAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: Liquor Liability Lim $ 5 , 000 , 000 A AUTOMOBILE LIABILITY 8376848 19 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT Ea accident $5 , 000, 000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS ONLYP'ConipDecl$1,000 ONLY AUTOS ONLY PROPERTYDAMAGE Per accident X Collision Ded $1,000 C UMBRELLA LIAR X OCCUR GBCGP1801519 01/01/2018 12/31/2018 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5 , 000 , 000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR / PARTNER / EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N / A 8376845 19 01/01/2018 01/01/2019 X PER OTH- STATUTE ER 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 D E&O-PL-Primary FSCE01800015 01/01/2018 12/31/2018 Aggregate Limit $3,000,000 SIR applies per policy ter s & condi ions Per Occurence $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is added as additional insured on the General Liability subject to the policy limitations, conditions and exclusions. 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. City of Fort Collins AUTHORIZED REPRESENTATIVE 300 LaPorte Ave Fort Collins CO 80521 USA �f- /� �� V. Q.:lIfC,ct�,11 r-D,1 1al�ar�Jle�na `m rn t7 co rn 0 0 O Z tv lC U ,E N U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000055869 LOC #: 0 ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Northeast, Inc. NAMED INSURED coplogic, a RELX Inc Company POLICY NUMBER see certificate Number: 570069799639 CARRIER see Certificate Number: 570069799639 NAIC CODE EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabilitv Insurance INSURER(S) AFFORDING COVERAGE I NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADUL INSD SUBK wVD POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE (MM/DD/YYY LIMITS OTHER C E&O-PL-XS FSCE01800059 01/01/2018 12/31/2018 Any One claim $10,000,000 Aggregate $10,000,000 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD