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HomeMy WebLinkAbout351548 US BANCORP - INSURANCE CERTIFICATE (9)" ► . 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 07/10/2018 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 1-612-333-3323 Hays Companies 80 South 8th Street CONTACT Dawn Heinemann and Melody Rronbach PHONNo Ex : 612-333-3323 FAX No: 612-373-7270 ADDARESS: dheinemann@hayscompanies.com INSURERS AFFORDING COVERAGE NAIC# Suite 700 INSURERA:OLD REPUBLIC INS CO 24147 Minneapolis, MN 55402 INSURED U.S. Bancorp and its Subsidiaries INSURER B : INSURER C : INSURERD: 200 South 6th Street INSURERE: EP-MN-L20I Minneapolis, MN 55402 INSURERF: I.IJVr'Klil�rl I=Fw I1F11-a IF NI lmmFw-' 1.144444 DC\/ICIA�1 �III��r9C1"1- 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 I TYPE OF INSURANCE ADDL INSD SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR X MWZY313979 08/01/18 08/01/19 EACH OCCURRENCE $ 5,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ N/A PERSONAL 8 ADV INJURY $ 5,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY❑JEC LOC GENERAL AGGREGATE $ 6,000,000 PRODUCTS - COMP/OPAGG $ 6,000,000 $ OTHER: A AUTOMOBILE LIABILITY X MWTB313977 08/01/18 08/01/19 COMBINED SINGLE LIMIT Ea accident $ 250,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident I J $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 70PERTYDAMAGE Per accident $ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DE D RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? IN I N/A MWC31397600 08/O1/18 08/O1/19 X SEATUTE ERH E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ 12,000,000 DESCRIPTION OF OPERATIONS below A Excess Automobile Liab. MWZX313981 08/01/18 08/01/19 LIMIT 4,750,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured as respects general and automobile liability policies where required by writte contract. UERIIFICAIE HOLDER CANCELLATION CON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gerry S. Paul 215 N. Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 I USA % © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ddebuhr C11AAd0O