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HomeMy WebLinkAboutLES MILLS INTERNATIONAL - INSURANCE CERTIFICATE (3)AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2.114/2017 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. Cincinnati OH office CONTACT NAME: PHONE (866) 283-7122 F (800) 363-0105 (A/C. No. Ext): AA/C. No.): E-MAIL ADDRESS: 8044 Montgomery Road Suite 405 INSURER(S) AFFORDING COVERAGE NAIC # Cincinnati OH 45236-2919 USA INSURED INSURER A: Technology Ins CO,Inc. 42376 Les Mills International INSURERB: Federal Insurance Company 20281 5022 Campbell Blvd suite L INSURERC: ACE American Insurance Company 22667 INSURER D: Nottingham MD 21236 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570069476020 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DD(YYYY MMfDD LIMITS C X COMMERCIAL GENERAL LIABILITY OGLG 11 1 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000, 000 X PRO ❑ LOC POLICY ❑ JECT PRODUCTS $1,000,000 OTHER: B AUTOMOBILE LIABILITY (17)7359-58-73 11/30/201711/30/2018 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident) UM13RELLALIAB EACH OCCURRENCE AGGREGATE EXCESS LIAB HOCCUR CLAIMS -MADE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER /EXECUTIVE YIN Twc3665305 10/01/201710/01/2018 X STATUTE ETH- E.L. EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N I A E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As respects to policy number OGLG25702967, Aon Risk solutions (U.S.) is generating and distributing this certificate in an administrative capacity. Aon New Zealand is the broker for the defined policy. City of Fort Collins, the City, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. d c d d v 0 2 0 N r v 0 0 r— Ln O Z d U 1= d U CERTIFICATE HOLDER CANCELLATION f; 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 PO Box 580 OEi Fort Collins Co 80522 USA ,{� �i A;t_�f ylt, D c/i" .le �Jn� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD