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HomeMy WebLinkAbout585276 NSF INTERNATIONAL STRATEGIC REGISTRATION - INSURANCE CERTIFICATEDATE (MM/DD/YYYY) ACOROe CERTIFICATE OF LIABILITY INSURANCE 1 6/30/2017 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 endorsements . PRODUCER CONTACT NAME: Amy L. Micallef, CIC, CISR, AIS, LIC, AAI Marsh & McLennan Agency LLC PHONE FAX 15415 Middlebelt Road WC, No.Exn. 734-525-2445 (A/C, Nod 734-525-1841 E-MAIL amicallef@mma-mi.com Livonia MI 48154-3805 ADDRESS; INSURED NSFINTER NSF International c/o Mr. Michael Walsh 789 North Dixboro Road Ann Arbor MI 48105 INSURER(S) AFFORDING COVERAGE _ NAIC 9 INSURER A: Federal Insurance Company 20281 INSURERB:ACE American Insurance Company 22667 INSURER D : r'.r)VFRAr:FS r F=PTIFIr ATF N'I IMRFR• 291083136 RFVICInM NI IMRGR- 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 'ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD LIMITS A X( I COMMERCIAL GENERAL LIABILITY Y '....... '135854081 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � X I OCCUR DAMAGES( RENTED PREMISES Ea occurrence) $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,D00,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY l CTX LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y 73538064 7/1/2017 7/1/2018 (Ea dent) $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Peraoddent) $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X _ PFt�RTYDAMA�E Per accident $ $ I A X UMBRELLA LIAB X OCCUR 79853485 7/1/2017 7/1/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE 71722532 7/1/2017 7/1/2018 H X STATUTE ER E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑NIA E.L. DISEASE - EA EMPLOYEO $1.000,000 (Mandatory in NH) Ifyes,describe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LIMIT -_ 1 $1,000,000 B Professional Liability G27882067001 7/1/2017 7/1/2018 Limit $15.000,000 Retro Date 01/01/1944 Retention - Non Mass $250,000 Mass/Class Action $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, its officers, agents and employees are included as additional insureds for commercial general liability insurance to the extent provided in the attached form #80-02-2367 and for auto liability to the extent provided in the attached form #16-02-0292. The insurance carrier will provide the Certificate Holder with direct notice of cancellation to the extent provided in the attached form #80-02-9779 for commercial general liability and in attached form #16-02-0303 for auto liability. l.tK I Ir K A I t r7VLUtK I.ANt—r_LLA I IVIN The City of Fort Collins Attn: Matt Zoccali 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD