HomeMy WebLinkAbout548994 KORN FERRY LEADERSHIP CONSULTING CORP - INSURANCE CERTIFICATE (12)A�� ® DATE (MM/DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 0410312017
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 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 CONTACT
Marsh Risk & Insurance Services NAME: _
PHONE FAX
CA License #0437153 C (A/C, No):
777 South Figueroa Street E-MAIL
Los Angeles, CA 90017 ADDRESS:
Attn: LosAngeles.CertRequest@Marsh.com I F:212-948-0535 INSURERS AFFORDING COVERAGE NAIC #
J44390-STND-GAUW-17-18 INSURER A, Federal Insurance Company 20281
INSURED INSURER B : National Union Fire Ins. Co. of Pittsburgh, PA
Korn/Ferry Leadership
Consulting Corporation wsURER c :
Kom/Ferry International INSURER D :
1900 Avenue of the Stars, Suite 2600
Los Angeles, CA 90067 INSURER E :
CnVFRAnFR CFRTIFICATF NIIMRFR- LOS-001976895-05 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
ADDL
SUBR
POLICY NUMBER
CY EFF
MM DPOLID YYYY
POLICY EXP
MM /DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
35894292
04/01/2017
04/01/2018
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO
PREMISES ( aEoccurrence)
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY a ECT � LOC
OTHER
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
Combined Total Agg
$ 10,000,000
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED AUTOS
X AUTOS X- NON -OWNED
HIRED AUTOS AUTOS
73556722
04/01/2017
04/01/2018
1 COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
Hired Comp/Coll Ded:
$ 1,000
UMBRELLA LIAB
EXCESS LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
DED RETENTION $
$
B
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YNN
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes describe under
DESCRIPTION OF OPERATIONS below
N / A
WCO25893702 (AOS)
WCO25893703 (CA)
WCO25893704 ME
( )
03/01/2017
03/01/2017
03/01/2017
03/01/2018
03/01/2018
03/01/2018
X STER I ATUTE ORH
_
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins is included as Additional Insured on both General Liability and Automobile Liability as required by written contract but limited to the operations of the Insured under said contract.
r`1=0TICl/^ATG LJni nFR rANr:FI I ATION
City of Fort Collins
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attn: Director of Purchasing and Risk Management
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P. 0. Box 580
ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522
AUTHORIZED REPRESENTATIVE
of Marsh Risk & Insurance Services
Eric Chua '-
U 1988-2014 ACORD CORPORA 1 ION. All rights reserves.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD