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HomeMy WebLinkAbout502890 IBI GROUP - INSURANCE CERTIFICATE (2)IBIGROU-01 MMCCARTNEY A�ORO CERTIFICATE OF LIABILITY INSURANCE DATE 1/612 01D/7 1 /6/27 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 License # 1780862 CONTACT Certificate Desk NAME: HUB International New England 299 Ballardvale Street Wilmington, MA 01887 _ PHONE ( ]FAX 988-0038 (A/C, No, Ext): 978) 657-5100 (A/C, No):(978 ) E-MAIL Ess. nee.certificates@hubinternational.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Hartford Underwriters Insurance Company 30104 INSURED INSURER B : INSURERC: IBI Group US INSURER D : 1401 17th St. Suite 610 Denver, CO 80202 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r —] OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED $ .EMLSES_(E1Qccurrence MED EXP (Any oneperson) $ PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: O- POLICY 0 JEPRCT LOC GENERAL AGGREGATE PRODUCTS -COMP/OPAGG $ $ OTHER: _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a i t __. $ B_O_D_I_LY INJURY Per erson ANY AUTO $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ PROPERTY DAMAGE eraccident $ HIRED NON -OWNED AUTOS ONLY ._ AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE [l Mandatory in NH) EXCLUDED? u NIA A 08WEEL0990 01/13/2017 01/13/2018 PER X OTH- I STATU E.L. EACH ACCIDENT 1,000,000 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) Endorsement WC000313 Blanket Waiver of Subrogation where required by written Contract, Agreement or Permit, and where permitted by Law. Endorsement WC990394 Blanket Notice of Cancellation to Certificate Holders. Stop Gap provided in Monopolistic States: ND, OH, WA & WY USL&H (All States) where required SEE ATTACHED ACORD 101 City of Fort Collins Attn: Purchasing Dept. 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 i" ?l.tl-7T ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 ACORO AGENCY CUSTOMER ID. IBIGROU-01 LOC #: 1 ADDITIONAL REMARKS SCHEDULE AGENCY License # 1780862 NAMED INSURED HUB International New En land IBI Groupp us g 1401 17th St. Suite 610 POLICY NUMBER Denver, CO 80202 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEEP 1 EFFECTIVE DATE: SEE PAGE 1 AUUI I IUNAL KtIVIAKr-.J THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: Carrier listing and Item 3A States: Twin City Fire Insurance Company - NAIC#29459 (AL, AZ, AR, CO, CT, DE, DC, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MT, NH, NE, NM, NV, (ND Stop Gap), (Ohio Stop Gap), OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, (WA Stop Gap), Wl, WV, (WY Stop Gap), Hartford Underwriters Insurance Company - NAIC#30104 (MO, NC, NJ, TX) Property & Casualty Ins Co of Hartford - NAIC#29494 (NY) Sentinel Insurance Company Limited - NAIC#11000 (California) MMCCARTNEY Page 1 of 1 GUKU 1U1 (ZUUU101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD