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HomeMy WebLinkAboutMARCH OF DIMES FOUNDATION - INSURANCE CERTIFICATE (2)A41* / CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2017 Y> 10/25/2017 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 Aon Risk Services Northeast, Inc. Morristown NJ Office CONTACT NAME: PHONE -7122 FAX (800363-0105 (A/C. No. Ext): (866) 283 (A/C. No.): ) E-MAIL ADDRESS: 44 Whippany Road, Suite 220 Morristown NJ 07960 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: The Travelers Indemnity Co. 25658 March of Dimes Foundation 1275 Mamaroneck Ave White Plains NY 10605 USA INSURERB: Great Northern Insurance Co. 20303 INSURER C: Vigilant Ins Co 20397 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570069036692 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. Limits shown are as requested ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (Mill MM DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑OCCUR DAMAGE T PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10, 000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $2,000,000 POLICY X PRO � LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER. B AUTOMOBILE LIABILITY 7352-50-21 10/31/2017 10/31/2018 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS X HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident A X UMBRELLA LIAR X OCCUR ZUP71M1676717NF 10/31/2017 10/31/2018 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5 , 000 , 000 DED I X RETENTION $10, 000 Products/Completed O $ 5 , 000 , 000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IN ANY PROPRIETOR / PARTNER I EXECUTIVE Y❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 1871737006 10/31/2017 10/31/2018 X ISTATUTE EORH 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 S1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Event Name: March for Babies 5K-Larimer County, Event Location: City Park, Ft. Collins, Event Date: April 29, 2017 City of Fort Collins is included as Additional insured in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE Risk Management Po Box580 Fort Collinsi Co 80522 USA r� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD