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HomeMy WebLinkAbout590416 SQUIRE PATTON BOGGS LLP - INSURANCE CERTIFICATEACORN® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYY) /Y 09/28/2017 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 NAME: Marsh USA Inc. PHONE FAX 216,937,1700 No), E-MAIL 200 Public Square Suite 1000 ADDRESS: Cleveland, OH 44114 INSURERS AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Insurance Co. of Pittsburgh, PA 19445 J39088--Cas-16-17 INSURED SQUIRE PATTON BOGGS (US) LLP INSURER B : Insurance Company Of The State Of PA 19429 INSURER C : NIA N/A SQUIRE PATTON BOGGS (UK) LLP INSURER D : NIA N/A ADMINISTRATIVE CENTER 1500 WEST 3RD STREET, STE 450 - INSURER E : New Hampshire Insurance Company 23841 CLEVELAND, OH 44113-1408 INSURER F : COVERAGES CERTIFICATE NUMBER: CLE-006203761-01 REVISION NUMBER: 2 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. INSRLTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER M DDM'YY MM/DDYYYYY LIMITS E X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL 2846270 12/31/2016 12/31/2017 EACH OCCURRENCE $ 1,000,000 A E T RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 171 PRO ❑ LOC JECT OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 3018303 Owned Comp/Coll: $500/$500 Hired Comp/Coll: $1,000/$1,000 12/31/2016 12/3112017 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB i OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑N (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC 12852426 (ADS) WC 12852398 (CA) 12131/2016 12/31/2017 1213112017 X PER OTH- STATUTE ER E.LEACHACCIDENT $ 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 Fort Collins is/are included as additional insured, where required by written contract, as respects the General and Auto Liability policies. ll3iil halhll_3ii�L413: aSGli L" a A WL\ 1 NJ City of Fort Collins 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. Michael R. Jackisch wt?f GkA._,J4 �arcxis�L ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD