HomeMy WebLinkAbout537597 BUTLER SNOW - INSURANCE CERTIFICATEa DATE (MMIDDIYYYY)
ACORO CERTIFICATE OF LIABILITY INSURANCE 11130/2016
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 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).
CONTACT
PRODUCER
Marsh USA Inc. NAME:
701 Poydras Street, Suite 4125 PHONE �L FAX
Marsh Not:
NewOdeans.CertRequest@marsh.com E-MAADDRESS:
IL
New Orleans, LA 70139
INSURERS AFFORDING COVERAGE NAIC p
849158--Cas-16-17 INSURER A : Great Northern Insurance Clanpany 20303
INSURED Butler Snow LLP INSURER B: Federal Insurance Company 20281
1020 Highland Colony Parkway INSURER C : Chubb Indemnity Insurance Co 12777
Suite 1400 INSURER D :
Ridgeland, MS 39157 --
I INSURER F : I 1
rnvcoAr+cc r'CDTICICATF III IMRGR• HOt1-002841116-02 RFVIS117N NIIMRFR-0
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
INSDDDL
SUBR
POLICY NUMBER
MM DD/YYYY
MM/DD/YYY Y
LIMITS
A
X
COMMERCIAL GENERAL LIA131LITY
CLAIMS -MADE M OCCUR
35793659
12/01/2016
12/01/2017
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RETE
PREMISES(E. ocicurrDence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENT
AGGREGATE LIMIT APPLIES PER.
POLICY PRO JECT X❑ LOC
OTHER
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OP AGG
$ INCLUDED
Per Policy Aggregate
$ 10,000,000
B
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS _ AUTOS
NON -OWNED
X HIRED AUTOS X AUTOS
73524677
12/01/2016
12/01/2017
COMBINED SINGLE LIMIT
Eaaccident
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
B
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
79686713
12/01/2016
12/01/2017
EACH OCCURRENCE
$ 15,000,000
AGGREGATE
$ 15,000,000
DED RETENTION $
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y�
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
71640779
12/01/2016
12/01/2017
X STATUTE ERH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
rrn r�rii+w T� un� nco CAkICFI I ATIr1N
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
215 North Mason St., 2nd Floor
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Fort Collins, CO 80524
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Gina Ciolino �a � -�� d
U 19SS-ZU14 AGUKL) GUKFUKA I IUN. All rlgnts reservea.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD