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Home My WebLink About109160 ROSENBAUER MINNESOTA LLC - INSURANCE CERTIFICATE (2)ACOROa CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) `� 2/28/2017 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 endorsements . PRODUCER CONTNAME: Ma Pat Thor Marsh & McLennan Agency LLC PHONE 763-746-8254 FAQ 212-948-9225 7225 Northland Dr N #300 E-MAIL marypat.thorp@marshmma.com Minneapolis MN 55428 INSURERS AFFORDING COVERAGE NAIC p INSURERA:Travelers Insurance Co 25674 _ INSURED INSURERB:Federal Insurance Company 20281 Rosenbauer Minnesota, LLC INSURER C: Phoenix Insurance Company 67814 5181 260th Street Wyoming MN 55092 INSURER D :Travelers IndemnityCompany 25658 INSURERE:Travelers Property Casualty Co. of 36161 INSURER F : COVERAGES CERTIFICATE NUMBER: 744783488 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 ADDLISUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY 630867K9860 3/1/2017 3/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR DAMAGES( RENTED PREMISES Ea occurrence)$100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT PRO LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ OTHER: D AUTOMOBILE LIABILITY 8100E905767 3/1/2017 3/1/2018 COMBINEDI I I $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X GarageKeepers $2,000,000 Garagekeeper E X UMBRELLA LIAR X OCCUR CUP867K9860 3/1/2017 3/1/2018 EACH OCCURRENCE $15,000,000 AGGREGATE $15,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENT10N$10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? "/A UB867K9860 3/1/2017 3/1/2018 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $500,000 B Excess Liability 93636464 3/1/2017 3/1/2018 Occurence 10,000,000 Aggregate 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate Holder is included as Additional Insured as required by written contract or agreement limited to the General Liability and Auto Liability coverage. l.tK I IrI!L A I t 11-1ULUtK UANL;tLLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N Mason Street ACCORDANCE WITH THE POLICY PROVISIONS. PO Box / 2nd Floor Fort Collins CO 80522 AUTHORIZED UPRESENTATIVE ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD >; n M . r, - _