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HomeMy WebLinkAbout495925 HAYS COMPANIES - INSURANCE CERTIFICATE (7)ACORU, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/18/2017 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 1-612-333-3323 CONTACT NAME: Ross Nerison PHONE FAX N Ext: 612-333-3323 A/C No: 612-373-7270 Hays Companies E-MAIL scorn rnerison@ha anies.com ADDRESS: Y P 80 South 8th Street INSURERS AFFORDING COVERAGE NAIC# Suite 700 INSURERA:HARTFORD UNDERWRITERS INS CO 30104 Minneapolis, MN 55402 INSURED INSURER B: SENTINEL INS CO LTD 11000 Hays Companies INSURER CHARTFORD CAS INS CO 29424 INSURER D: HARTFORD FIRE IN CO 19682 80 South 8th Street, Suite 700 INSURER E : Minneapolis, MN 55402 INSURERF: rr)vPPAr,FR rFRTIFIrATF NIIMRFR• 48974190 RFVISION NIIMRFR- 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 OF INSURANCE ADDLTYPE 1=SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM /DD YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 41 UUN KW8239 01/19/17 01/19/18 EACH OCCURRENCE $ 1,000,000 X_ AMA TO PREMISES Ea occurrence $ 1,000,000 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO ❑ LOC JECT PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 41 UUN KW8 2 3 9 O1 /19/17 01/19/18 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) _ $ X ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY Per DAMAGE accident $ X X NON -OWNED AUTOHIREDS ONLY AUTOS ONLY $ g COMP $1,00 X COLL $1,00 C X UMBRELLA LIAB X OCCUR 41 XHU KW5423 01/19/17 01/19/18 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25, 000, 000 EXCESS LIAB CLAIMS -MADE $ DED X RETENTION$ 10,000 D WORKERS COMPENSATION 41 WE BP7463 01/19/17 01/19/18 OT X STATUTE ERH AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? IN I N /A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D Property 41 UUN KW8239 01/19/17 'I01/19/18 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. CERTIFICATE HOLDER CANCELLATION 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. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD RNerison e 0o�n, 0n