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HomeMy WebLinkAbout351548 US BANCORP - INSURANCE CERTIFICATE (7)hP CERTIFICATE OF LIABILITY INSURANCE FAE(MM/DD/YYYY) /18/2017 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 1-612-333-3323 CONTACT Dawn Heinemann Hays Companies _NAME: _ __ _ PHONE - FAX A/C N E 612-333-3323 A/C No: 612-373-7270 E-MAIL scorn dheinemann@ha anies.com ADDRESS: Y P 80 South 8th Street INSURER(S) AFFORDING COVERAGE NAIC 4 Suite 700 INSURERA:OLD REPUBLIC INS CO 24147 Minneapolis, MN 55402 INSURED INSURER B : U.S. Bancorp and its Subsidiaries INSURER C INSURERD: 200 South 6th Street INSURERE: EP-MN-L20I INSURERF: Minneapolis, MN 55402 COVFRAnFS CFRTIFICATF NIIMRFR- 50384620 RFVISION NIIMRFR- 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 rypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDD POLICY EXP M/DD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY X MWZY310877 08/01/17 08/01/18 EACHOCCURRENCE $ 5,000, 000 CLAIMS -MADE OCCUR P EM SES CIE.occurrence) $ 1,000,000 MED EXP (Any oneperson) $ N/A PERSONAL & ADV INJURY $ 5,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X POLICY ❑ PRO - POLICY 7 LOC PRODUCTS - COMP/OPAGG $ 6,000,000 $ OTHER: A AUTOMOBILE LIABILITY X XWTB310875 08/01/17 08/01/18 COMBINED SINGLE LIMIT Ea accident $ 5, 000, 000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? IN I (Mandatory in NH) N/A MWC31087400 08/01/17 08/01/18 ER X 1 STATUTE I ERH E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured as respects general and automobile liability policies where required by writte contract. CERTIFICATE HOLDER CANCELLATION CON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Gerry S. Paul 215 N. Mason Street, 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 USA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ddebuhr cnIoncnn