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HomeMy WebLinkAbout590416 SQUIRE PATTON BOGGS LLP - INSURANCE CERTIFICATE (2)k - CERTIFICATE OF LIABILITY INSURANCE °12/282o;�°"YYY' 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 216.937,1700 (A/C. No. Ext1: __- - -_ _ _ _ --_— — A/c No): 200 Public Square E-MAIL Suite 1000 ADDRESS: Cleveland, OH 44114 INSURERS AFFORDING COVERAGE NAIC If J39088--Cas-17-18 INSURER A : National Fire Insurance Company of Hartford 20478 INSURED 19445 SQUIRE PATTON BOGGS (US) LLP INSURER B :National Union Fire Ins Co Pittsburgh PA SQUIRE PATTON BOGGS (UK) LLP INSURER C : N/A N/A ADMINISTRATIVE CENTER INSURER D: Insurance Company Of The State Of Pennsylvania 119429 1500 WEST 3RD STREET, STE 450 CLEVELAND, OH 44113-1408 INSURER E : N/A N/A COVFRAAFS CFRTIFICATF NIIMRFR- CLE-006203761-02 RFVISION NIIMRFR- 2 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-INSR ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE u OCCUR 6056540723 12/31/2017 12/31/2018 EACH OCCURRENCE. $ 1,000,000 MA DAGE TO RENTED PREMISES Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEINL AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 _ $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L 3761837 Owned Comp/Coll: $500/$500 Hired Comp/Coll: $1,000/$1.000 12/31/2017 12/31/2018 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION $ $ D D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORlPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC 14220773 (AOS) WC 14220774 (CA) I 12/31/2017 12/31/2018 12/3112018 X PER OTH- STATUTE ER _ E.L EACH ACCIDENT -_ $ 1,000,000 E.L. DISEASE - EA EMPLOYEE - $ 1,000,000 $ 1,000,000 EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is/are included as additional insured, where required by written contract, as respects the General and Auto Liability policies. GERTIFIGATE HOLDER GANGtLL.A I IUN City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins. CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Michael R. Jackische ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD