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467921 3M COMPANY - INSURANCE CERTIFICATE (7)
A� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1F�ATE(MM1DD1YYYY) 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 Willis of Minnesota, Inc. c/o 26 Century Blvd. P. 0. Box 305191 Nashville, TN 37230-5191 CONTACT NAME: PHONE FAX A N No: 888-467-2378 ADDRIE : certificates@willis.com INSURER(S)AFFORDINGOOVERAGE NAIC n INSURERA:Old Republic Insurance Company 24147-001 INSURED 3M Company INSURERS: 3M Insurance Department INSURERC: INSURERD: Bldg 224-5S-29 St. Paul, MN 55144 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 25746728 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. INSR LTR TYPE OF INSURANCE DDL NSp SUB DI POLICY NUMBER POLICY EFF POLICY EXP VYY LIMITS • X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR MWZY 309966 3/1/2017 i 3/1/2020 EACH OCCURRENCE $ 5,000,000 Dq�1gGET0gaoccurence) PREMISES (E $ 1 000 000 MED EXP (Any one person) $ PERSONAL& ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ LOC JECT OTHER: GENERALAGGREGATE $ 5,000,000 PRODUCTS- COMP/OP AGG $ 5,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY MWTB 309964 3/l/2017 3�1/2020 COMBINED SINGLE LIMIT Ea accident) $ 2, 000, 000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ DED (RETENTION$ $ • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y wT OFFICER/MEMBER EXCLI IDFD? L_"_I 4tMandatory in NH) yes, describe under DESCRIPTION OF OPERATIONS below N/A MWC309963-00 3/1/2017 3/1/2018 X PER oTH- TAT TE E.L. EACH ACCIDENT $ 5,000,000 E.L. DISEASE - EA EMPLOYEE $ 5,000,000 E.L. DISEASE - POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 3M Company acquired the following companies October 4, 2017: Detcon, Inc. / Tyco Fire Products LP; Infrared Systems Group LLC; Scott Technologies of DE, Inc. dba Scott Safety; Scott Health & Safety; Scott Safety; Scott Technologies, Inc. L;t-K I IrIUA I It NULUtH I,Hlvlic LLH I IVIV 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 City of Fort Collins P. O. Box 580 215 North Mason Street Fort Collins, CO 80524 rn11-1;1'144RR Tn1 e21721R64 ro rt!�9' 46728©1988-p015ACORD CORPORATION. All riahtsreserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD