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HomeMy WebLinkAbout426136 MUNICIPAL EMERGENCY SERVICES - INSURANCE CERTIFICATE (9)ACOR[�' CERTIFICATE OF LIABILITY INSURANCE 12/29/2018 F DATE(MM/DD/YYYY) 12/8/2017 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 Lockton Companies CONTACT NAME: 76 Batterson Park Road FarmingCT 06032 860-678-4000 FAX A/(PHC EO Ext : A/C No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Property Casualty Co of America 25674 INSURED Municipal Emergency Services, Inc. INSURER B : The Travelers Indemnity Co of America 25666 1372711 P.O. Box 656 Southbury CT 06488 INSURER C : Navi ators Insurance Company 42307 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 141 14656 REVISION NUMBER: XXXXXXX 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y N 630-3639A484-TII, 12/29/2017 12/29/2018 EACH OCCURRENCE 1,000,000 DAMAGE IR SES� a ooeu ante 1,000,000 MED EXP (Any oneperson)10 O00 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY❑ JECT � LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED AAUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y N BA 3639A515 12/29/2017 12/29/2018 (EaacccdentSINGLE LIMIT $ 11000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY BODILY INJURY (Per accident $ XX'}(]{]{ X PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX C j( UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE N N B016UMR8004421V 12/29/2017 12/29/2018 EACH OCCURRENCE $ 10 000 000 AGGREGATE $ 1 0,000 000 DED X RETENTION $ 10,000 $XXXXXXX A WORKERS LI EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE N1 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N / A N UB-3639A484-16 12/29/2017 12/29/2018 X STUTE RAND E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EINr'LOYEt 1,000,000 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) City of Fort Collins is included as an Additional Insured with respect to General Liability and Auto Liability as required by written contract. 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. 14114656 AUTHORIZED REPRESENTATIVE City of Fort Collins PO Box 580 Fort Collins CO 80522 ACORD 25 (2016/03) @1988-201,67ACCOD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD