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HomeMy WebLinkAbout495925 HAYS COMPANIES - INSURANCE CERTIFICATE (6)l & DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/18/2018 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 ICONTNAMEACT Melody Rronbach or Stewart IIdvig Hays Companies PHONE FAX fA/C-Nn-Fxt1. 612-333-3323 fn/c_N„t. 612-373-7270 80 South 8th Street Suite 700 Minneapolis, MN 55402 INSURED Hays Companies 80 South 8th Street, Suite 700 S. com INSURERA:HARTFORD UNDERWRITERS INS CO 30104 INSURERB:SENTINEL INS CO LTD 11000 INSURERC:HARTFORD CAS INS CO 29424 INSURERD:HARTFORD FIRE IN CO 19682 Minneapolis, MN 55402 1INSURER F: COVERAGES CFRTIFICATF NI IMRFR• 51916803 DFtACInN nH IRARPD- 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 ADDL SUBR POLICY NUMBER POLICY EFF MM DD/YYY POLICY EXP MM/DD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 41UUNKW8239 01/19/18 01/19/19 EACH OCCURRENCE $ 1,000,000 _ $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence MED EXP (Any one person) $ 10,000 _ PERSONAL& ADV INJURY $ 1,000,000 GENT X AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 41UUNKW8239 01/19/18 01/19/19 COMBINED SINGLE LIMIT Ea accident) g 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED NON -OWNED X AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ X COMP $1,00 X COLL $1,00 $ C X UMBRELLA LIAB X OCCUR 41XHUKW5423 01/19/18 01/19/19 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25, 000, 000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION $ 10, 000 $ D AND EMPSCOMPENSATIONYES'LIILIT AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED,IN I N/A 41WEBP7463 01/19/18 01/19/19 X STATUTE EERH $ 1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE - $ 1,000,000 (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Property 41UUNKW8239 01/19/18 01/19/19 Property 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, agents and employees shall be named as additional insureds on the general liability and automobile liability policies, where required by writen contract. t-LK I Ir II.H I It 1-1ULUtK City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ddebuhr ci of co n�