Loading...
HomeMy WebLinkAboutCOGENT INC - INSURANCE CERTIFICATE (8)A�CO�RO® CERTIFICATE OF LIABILITY INSURANCE FDATE IYYYY) os/ov20172o17 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 Marsh USA Inc. One Towne Square, Suite 1100 Southfield, MI 48076 Attn: DetroitGroupCaptive.CertRequest@marsh.com CONTACT NAME: PNONE I fA E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 CN1 19262320—GAWU-1 7-18 INSURED Cogent, Inc., INSURER B : Travelers Property Casual Co. of America 25674 INSURER C : Automatic Engineering, Fluid Equipment, LLC, BRI, Catalyst, Liberty Facility, LLC, WE Solutio INSURER D : Lee Mathews, Vanco, Vandevanter Engineering, Water Technology Group 318 Broadway St. INSURER E : Kansas City, MO 64105 INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-008732206-02 REVISION NUMBER: 0 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 MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GLO1060782-00 09/01/2017 04/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEML X AGGREGATE LIMIT APPLIES PER. POLICY PRO LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG 2,OOQ000JECT $ $ OTHER A A AUTOMOBILE LIABILITY ANY AUTO BAP1060783-00 (COML) BAP1060784-00 (PP) 09/01/2017 09/01/2017 04/01/2018 04/01/2018 COMEe aBI EDiSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ _ X UMBRELLA LIAB X OCCUR ZUP61M83930-17NF 09/01/2017 04/01/2018 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LAB CLAIMS -MADE DED I X I RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? (Mandatory in NH) NIA WC1060781-00 Does not apply to the Monopolistic States (ND, OR WA, and WY), 04/01/2018 X PER OH - STATUTE ER E.L.EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below Puerto Rico, or the Virgin Islands g 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) The City of Fort Collins are included as additional insured for General Liability and Auto Liability as required by written contract or written agreement, per policy terms and conditions as respects General and Auto Liability. The City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 CANCELLATION 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. John C Hurley �—� @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 09/01/2017 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:___ One Towne Square, Suite 1100 PHONE A/C Noll: Southfield, MI 48076 AIL Attn: DetroitGroupCapbve.CertRequest@marsh.com DDR INSURER(S) AFFORDING COVERAGE NAIC # CN1 19262320--GAWU-1 7-18 INSURER A: Zurich American Insurance Company 16535 INSURED Cogent, Inc., INSURER B : Travelers Property Casualty Co. of America 25674 Automatic Engineering, Fluid Equipment, LLC, BRI, Catalyst, Liberty Facility, LLC, iME Solutio INSURER C : Lee Mathews, Vanco, Vandevanter Engineering, Water Technology Group INSURER D : 318 Broadway St. Kansas City, MO 64105 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: CHI-008732256-02 RFVISION NIIMRFR• 0 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 CLAIMS -MADE 1XIOCCUR GLO1060782-00 09/01/2017 04/01/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER. POLICY PRO LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG 2,OOQ000JECT $ $ A A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED V NON -OWNED AUTOS ONLY AUTOS ONLY BAP1060783-00 (COML) BAP1060784-00 (PP) 09/01/2017 09/01/2017 04/01/2018 04/01/2018 Ea BINEDtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP61M83930-17NF 09/01/2017 04/01/2018 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 1Q000,OOO DED X RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC1060781-00 Does not apply to the Monopolistic States (ND, OH, WA, and WY), Puerto Rico; or the Virgin Islands 04/01/2018 X PER OTH- STATUTE ER 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 / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of For[ Collins, CO are included as additional insured for General Liability and Auto Liability as required by written contract or written agreement, per policy terms and conditions. City of Fort Collins, CO Beth Diven PO Box 580 Fort Collins, CO 80522 CANCELLATION 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. John C Hurley © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD