HomeMy WebLinkAbout351548 US BANCORP - INSURANCE CERTIFICATE (8)i , ®
ACORO CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYYY)
11/16/2017
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
Marsh USA Inc.
333 South 7th Street, Suite 1400
Minneapolis, MN 55402-2400
Attn: Minneapolis.CertRequest@marsh.com Fax 212-948-0114
CONTACT
NAME:
PHONE FAX
nJc No
E-MAIL
ADDRESS:
INSURER S AFFORDING COVERAGE
NAIC #
_
INSURER A: Indian Harbor Insurance Company
36940
INSURED
U.S. BANCORP AND ITS SUBSIDIARIES
INSURER B :
200 S. 6th STREET
INSURER C :
INSURER D :
EP-MN-L201
MINNEAPOLIS, MN 55402
INSURER E :
INSURER F :
CnVFRAGFS CERTIFICATE NUMBER: CHI-007099186-03 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
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
_
$DAMAGE
CLAIMS -MADE OCCUR
TO TE
PREMISES Ea orccur ence
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
PPOLICY ElPRO JECT ❑ LOC
$
OTHER
AUTOMOBILE LIABILITY
CEa OMBINED SINGLE LIMIT
accident)
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR I
CLAIMS-MADE
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
OFFICER/MEMBER EXCUED?ECUTIVE �
(Mandatory in NH)
N/A
PER I I OTH-
STATUTE I I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
I E.L. DISEASE - POLICY LIMIT
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
I
I
A
ERRORS & OMISSIONS
ELU152907-17F
11/15/2017
11/15/2018
Limit:
$10,000,000
A
FI BOND (CRIME)
ELU152907-17G
11/15/2017
11/1512018
Limit:
$10,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER UAIVGtL _A I IVN_
City of Fort Collins
215 N. Mason Street
Purchasing Dept
PO Box 580
Fort Collins, CO 80522-0580
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.
Manashi Mukherjee _1A1lXeAQWD" tc nt� u
U 1993-2016 ACORD CORPOKA I ION. All rigttts reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD