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HomeMy WebLinkAboutAD11-196 - Insurance Certificate - AllianceOne, Inc. - Liability Coverage - 12/31/2015 Client#: 1370 TELEPERGRO ACORD 12/2412015 CERTIFICATE ®F LIABILITY INSURANCE DAT24/2015 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 policyQes)must 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 endorsament(s). PRODUCER CONTACT Sean Shewell NAME: Moreton&Company-Utah PHONE gD1 531-1234 FAX 801-531-6177- AIC No EA: Alq No P.O. Box 58139 EMAIL —--__-- ADDRESS: Salt Lake City, UT 84158.0139 INSURERS AFFORDING COVERAGE NAIC A 801531.1234 INSURERA,Federal Insurance Company 20281 INSURED INSURER B;St. Paul Fire & Marine Ins.CO. 24767 Teleperformance Group, Inc. American Zurich Insurance C 40142 6510 Millrock Drive,Suite 150 INSURER : _om Pa - INSURER D:Great Northern Insurance Co. 20303 i Holladay, UT 84121 --- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS ,.. LTR INSR MD IY POLICY NUMBER MMIDDYYY MMIDWYYYY A GENERAL LIABILITY 35911047 12131/2015 12/31/201 EACH q�OECC1'URpRENCE s1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ee aNcurrenca $1 000 000 CLAIMS-MADE OCCUR MEDEXP(Anyoneperson) 510,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY F JECTPRO LOG I S ' D AUTOMOBILE LIABILITY 173559843 121311201512131/201 EOMBIaE�DISINGLE LIMIT 51,000,000 �! X ANY AUTO BODILY INJURY(Per peman) $ ALLOWNEL SCHEDULED BODILY INJURY(Perarcidenl) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE ----- X HIRED AUTOS X AUTOS Peracmdtnt $ _ X Drw.Oth Car $ A X UMBRELLA LIAB X OCCUR 79877170 12/31/2015 12/31/201 EACH OCCURRENCE $49 00D D00 B X EXCESS LIAB XtCLmMSMADE ZUP12R0528A15NF 12/31/2015 12131/2016 AGGREGATE _ $49000000 LED I X RETENTION$1 DDDD $ c WORKERS COMPENSATION WCg242644D3 04/01/2015 04/01/207 X WC SRVLMU7 OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE YIN EEACH ACCIDENT $1,000,000 RI OFFICEMEMSER EXCLUDED? NIA l. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,desadbs Under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMI $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Verification of Insurance subject to the terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION Cif Of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Robert Goehring ACCORDANCE WITH THE POLICY PROVISIONS. 220 Fourth Avenue South Kent, WA 98032.0000 AUTHORIZED REPRESENTATIVE « ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S776643/M776613 SEASH