CBRE_COI_for_CGL-WC-UL_to_3-1-2020.pdf

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

3/19/2019

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 OF A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHRIZED

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

Aon Risk Services of the Northeast, Inc.

Stamford CT Office 1600 Summer Street Stamford CT 06907-4907 USA

CONTACT

NAME:

PHONE

(A/C, No. Ext): (866) 283-7122 PHONE

(A/C, NO.): (800) 363-0105

E-MAIL

ADDRESS:

INSURERS AFFORDING COVERAGE NAIC #

INSURED INSURER A: Zurich American Insurance Company 16535 CBRE Group, Inc., and Subsidiaries 400 S. Hope Street Los Angeles, CA 90071

INSURER B: ACE Property & Casualty Insurance Co. 20699 INSURER C: American Zurich Insurance Company 40142 INSURER D: Factory Mutual Insurance Company 21482

INSURER E:

INSURER F:

COVERAGES

THIS IS TO CERTIFY THAT 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 POLCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested

INSR

LTR TYPE OF INSURANCE ADD’L

INSRD

SUBR

WVD

POLICY NUMBER POLICY EFF

(MM/DD/YY)

POLICY EXP

(MM/DD/YY) LIMITS

A GLO838419917 3/1/2019 3/1/2020 EACH OCCURRENCE $2,000,000

COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED

PREMISES (Ea occurrence) $50,000 CLAIMS MADE OCCUR MED EXP (Any one person) $10,000

PERSONAL & ADV INJURY $2,000,000

GENERAL AGGREGATE $2,000,000

GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000

POLICY PRO- LOC

JECT

AUTOMOBILE LIABILITY

COMBINED SINGLE LIMIT

(Ea accident) ANY AUTO

ALL OWNED AUTOS

BODILY INJURY (Per person) SCHEDULED AUTOS

HIRED AUTOS

BODILY INJURY (Per accident) NON-OWNED AUTO

PROPERTY DAMAGE

(Per accident)

B UMBRELLA LIAB OCCUR

CLAIMS MADE

G27952501004 3/1/2019 3/1/2020 EACH OCCURRENCE $8,000,000

EXCESS LIAB AGGREGATE $8,000,000

DEDUCTIBLE

RETENTION $10,000

A

WORKERS COMPENSATION

AND EMPLOYERS’ LIABILITY Y / N

WC914176313 3/1/2019 3/1/2020 WC STATU-

TORY LIMITS OTH

- ER

B ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

N WC838419520 E.L. EACH ACCIDENT $1,000,000

E.L. DISEASE-EA EMPLOYEE $1,000,000

If yes, describe under

DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 D

BUSINESS PERSONAL PROP &

TENANT IMPROVEMENTS

1047851 3/1/2019 3/1/2020 All Risk Form, $10,000 Deductible, Replacement Cost

$1,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

Certificate Holder is an Additional Insured on the Commercial General Liability policy when agreed to in a written agreement with the Insured.

CERTIFICATE HOLDER CANCELLATION

Arizona State Retirement System c/o CBRE 3300 N. Central Avenue, Suite 1100 Phoenix, AZ 86012

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

Aon Risk Services Northeast, Inc.

ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD