HomeMy WebLinkAboutCENVEO - INSURANCE CERTIFICATEoRa® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
09/25/2017
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 CONTACT
Marsh USA, Inc. NAME:
PHONE FAX
1166 Avenue of the Americas A/C No):
New York, NY 10036 E-MAIL
Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 ADDRESS:
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Twin City Fire Insurance Company 29459
INSURED INSURER B : Hartford Fire Insurance Company 19682
Cenveo,Inc.
200 First Stamford Place, 2nd Floor INSURER C : Hartford Underwriters Insurance Company 30104
Stamford, CT 06902 INSURER D : Everest National Insurance Company 10120
INSURER E : Trumbull Insurance Company 27120
INSURER F :
r•nvconr_cc CFRTICIr`ATG NI IMRFR• NYr.-On9529n59-19 RFVISI(-)N NIIMRFP- 10
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/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Icurrrence
CLAIMS -MADE " OCCUR
10 ECS S12510
10/01/2017
10/01/2018
EACH OCCURRENCE
$ 2,750,000
DAMAGE TO TE
PREMISES Ea occurrence)
$ 2,750,000
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$ 2,750,000
GENT AGGREGATE LIMIT APPLIES PER
X POLICY ❑ PRO ❑ LOC
JECT
OTHER.
GENERAL AGGREGATE
$ 2,750,000
PRODUCTS - COMP/OP AGG
$ 2,750,000
SIR
$ 250,000
B
C
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
F
10 CSE S 12512 (AOS)
10 CSE S12513 (HI)
10/01/2017
10/01/2017
10/01/2018
10/01/2018
coAEaaccide161NED ntSINGLE LIMIT
$ 3,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
X
UMBRELLA LIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
XC5C000010171
10/01/2017
10/01/2018
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
DED RETENTION $
$
E
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
OFFICER/MEMBER EXC UDED?ECUTIVE I
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
10 WN S12508 (AOS)
10 WBR S12509 (WI)
10/01/2017
10/01/2018
10/0112018
H
X STATUTE ER
E.L.EACHACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYEE
_$ 1'000,000
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
THE CITY OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED (EXCEPT WORKERS' COMPENSATION) WHERE REQUIRED BY WRITTEN CONTRACT
L
CITY OF FORT COLLINS
PURCHASING DIVISION
ATTN: GERRY S PAUL DIRECTOR OF PURCHASING
215 NORTH MASON 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
of Marsh USA Inc.
Thomas J. Edridge �t •
U 1988-2016 ACORD CORPORA I ION. All rlgnts reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD