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HomeMy WebLinkAboutFI11-103 - Insurance Certificate - Alliance One Receivables Management, Inc. (ARMI) - Liability Coverage - 12/31/2015 A t i o'VA Q oy\,L Client#: 1370 TELEPERGRO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATEIMMI00/YV I 12/24/2015 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 policy(ies)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 endorsement(s). PRODUCER CONTACT Sean Shewell _ NAME: Moreton&Company-Utah PHONE g01 531.1234 FAX 801-531-6117 P.O. Box 58139 E A Lo ExO; (PJC,Rol: ADDRESS: Salt Lake City, UT 84158-0139 - _ -- INSURER(S)AFFORDING COVERAGE NAIL# 801 531-1234 _ INSURER A:Federal Insurance Company 20281 INSURED INSURERS:St, Paul Fire&Marine Ins. Co. 24767 Teleperformance Group, Inc. American Zurich Insurance Coma 40142 INSURER C P 6510 Millrock Drive,Suite 150 """- - Holladay, UT 84121 INSURERD;Great Northern Insurance Co. 20303 J INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIONOF 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 - - ADDLSUBR _ POLICY Err POLICY UP '. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD/YYYY) (MMIDDIYYYYI .LIMITS A GENERAL LIABILITY 35911047 12131/2015 12131/201C EACHOCCURRENCE $1,000,000 j DAMAGE TO RENTED --- X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrenceI $1 009'5DU CLAIMS-MADE OCCUR MED EXP(Any one person) $10,000 _ PERSONAL&ADV INJURY S1,000r000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2,000,000 'i POLICY n P" LOC $ DAUTOMOBILE LIABILITY 73559843 2/31/2015 12/31 CEOaBINEDSINGLELIMIT accdent _S1_1_0001000 X ANY AUTO BODILY INJURY(Per person) S " ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS X RED AUTOS X NON--OWNED PROPERTY DAMAGE S /III AUTOS Par accidpnl) X Drive Oth Car $ A X UMBRELLA LIAR X I OCCUR 79877170 12/31/2015 12/3112016 EACH OCCURRENCE _ s49,000,000 B X EXCESS LIAB X I CLAIMS-MADE ZUP12R0528A15NF 12/3112015 12/31/2016 AGGREGATE s49,000,000 "ITX RETENTION S10000 S C WORKERS COMPENSATION WC924284403 04/01/2015 04/0112016 X WC BTATU- I OTH- AND EMPLOYERS'LIABILITY - ANY PROPRIETORIPARTNERIEXECUTIVEYIN E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCL UDED9 a NIA - (MandaloryinNH) E.L.DISEASE EA EMPLOYEE $1,DOOrODU DIf ESCRIPTION OF OPERATIONS beluw E.L.DISEASE-POLICY LIMIT S1 000,BDU DESCRIPTION OF OPERATIONS)LOCATIONS I VEHICLES(Attach ACORO 101,Additional Remarks Schedule,if more space Is required) Verification of Insurance subject to the terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION Cityof Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 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(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S7766431M776613 SEASH