Loading...
HomeMy WebLinkAbout567622 RSM US LLP - INSURANCE CERTIFICATE (7),d►`corzn® CERTIFICATE OF LIABILITY INSURANCE ATE D11/29/2017 D/YYYY) 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 Marsh USA Inc. 2405 Grand Boulevard, #900 CONTACT NAME: -- PHONE FAX _WC, No, Eq A/c No): E-MAIL ADDRESS: Kansas City, MO 64108 Attn: KansasCity.CertRequest@marsh.com Fax: 212-948-0015 INSURERS AFFORDING COVERAGE NAIC # INSURER A : Sen Insurance A Mutual Company 24988 081817 Eastma INSURED RSM US LLP INSURER B : Federal Insurance Company 20281 INSURER C : Continental Casualty Company 20443 One South Wacker Drive, Suite 800 INSURER D : Sentry Casualty Company 28460 Chicago, IL 60606 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-008717817-03 REVISION NUMBER: 9 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 POLICY NUMBER MMIDD/YYYY MMIDD/VYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 90-18524-04 11/30/2017 11/30/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR RNTED DA AGE ToE.Eoccuence PREMISES $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PRO � JECT J LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY 90-18524-06 11/30/2017 11/30/2018 COMBINED SINGLE LIMIT Ea accident) $ 1 000000 _ BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR 9364-18-93 11/30/2017 11/30/2018 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A p WORKERS COMPENSATION ' LIABILITY AND EMPLOYERSY! N ANYPROPRIETOR/PARTNERlEXECUT IVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) NIA 90-18524-01 (AOS) 90 18524-02 ( WI) 11/30/2017 11/30/2018 11I30/2018 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 C Property RMP6023285901 11/30/2017 11/30/2018 Blanket Limit: 1,000,000 Deductible: SEE ATTACHED DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins is named as Additional Insured with respect to General and Auto Liability if required to be so by written contract. CERTIFICATE HOLDER CANCELLATION The City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Keith A. Stiles of y4'_ ::gr� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD