CERTIFICATE OF INSURANCE (COI) Instructions

Similar documents
FILED: NEW YORK COUNTY CLERK 10/21/ :13 PM INDEX NO /2015 NYSCEF DOC. NO. 18 RECEIVED NYSCEF: 10/21/2016. Exhibit A

CERTIFICATE OF LIABILITY INSURANCE

EVIDENCE OF PROPERTY INSURANCE

SUBCONTRACTOR PRE-QUALIFICATION STATEMENT

INTERMODAL INTERCHANGE CERTIFICATE OF INSURANCE

CERTIFICATE OF LIABILITY INSURANCE 3/6/2018

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

Receipt. EOI Direct. Receipt $57.95 $0.00. Total Due. Customer Account User Payment Terms Due Date American Pacific Mortgage Due on Receipt

CERTIFICATE OF LIABILITY INSURANCE

CONTACT NAME: PHONE (A/C, No, Ext): ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F :

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

The following documents are required to be filed with Salt Lake City Corp. in order to obtain an Engineering Division Public Way Permit:

CERTIFICATE OF LIABILITY INSURANCE

Subcontractor Insurance Requirements Certificate Holder VCI Construction, LLC 1921 W. Eleventh Street, Upland CA 91786

CERTIFICATE OF LIABILITY INSURANCE

ON-SITE VENDOR ~DOES COME ON A UPA MANAGED PROPERTY TO PROVIDE SERVICE~

UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE DATE (MM/DD/YYYY) 11/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF I


CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

DocuSign Envelope ID: E7-5F1C-4156-BC4E C6B

Subcontractor Insurance Requirements

Exhibit E-1: Insurance Requirements

SPECIAL EVENTS INSURANCE REQUIREMENTS

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE.OF.LIABILITY.INSURANCE

CERTIFICATE OF LIABILITY INSURANCE

Insurance Requirement Sheet

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI

What can we haul for you?

STATE OF ALABAMA ALCOHOLIC BEVERAGE CONTROL BOARD MONTGOMERY, ALABAMA


Note on Idaho Private Investigator License

CERTIFICATE OF LIABILITY INSURANCE

[COMPANY INFORMATION]

Chad M. Buchanan, C.F.O. (260) , Ext Alan Scherer, Operations Department

State of West Virginia Solicitation Response

State of West Virginia Solicitation Response


Note on Alaska Private Investigator License

Crandall Corporation. Permit Package

CERTIFICATE OF LIABILITY INSURANCE



NEW VENDOR INFORMATION

SUBCONTRACTOR QUALIFICATION FORM For J. RAYMOND CONSTRUCTION CORP


EVIDENCE OF PROPERTY INSURANCE

NOTICE OF AWARD. RE: Bid #4183RP-Painting & Pressure Washing Services-Contact Labor

Dear Transportation Manager:

Purpose of Training. Disclaimer

INVITATION TO BID RSU-21 Schools Additions and Renovations (Referendum 6-10) Bid Package Concrete - Mildred L Day School Sprinkler and Pump Room

CERTIFICATE OF LIABILITY INSURANCE

Issues & Questions Specified. Should the City Commission approve the fireworks display permit?

Or

The following documentation is an electronicallysubmitted vendor response to an advertised solicitation from the West Virginia Purchasing Bulletin

You can reproduce this certificate as needed. Ohio Bureau of Workers' Compensation. Required Posting

Tax ID: MC C SCAC: BWCD DOT:

CERTIFICATE OF LIABILITY INSURANCE

CONTRACTOR NETWORK. Application & Program Fundamentals

CERTIFICATE OF LIABILITY INSURANCE

MC DATH

LAS VEGAS 2018 INSURANCE REQUIREMENTS

WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section 555 N. Zeeb Road Ann Arbor, MI 48103

WASHTENAW COUNTY ROAD COMMISSION Permit Engineering Section 555 N. Zeeb Road Ann Arbor, MI 48103

CERTIFICATE OF LIABILITY INSURANCE

Industrial Equipment Campers Flat Beds Mobile Homes Heavy Equipment RVs Motor Homes Trailers

Vendor Management Program (VMP)

The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions and the following:

D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI

State of West Virginia Solicitation Response

WORLDWIDE EXPRESS TRUCKLOAD

SCANA Corporation. AEGIS Insurance Services, Inc.

INSURANCE REQUIREMENTS

Hylant Group 501 Congressional Blvd P.O. Box 1910 Carmel IN Phone: Fax:

BLUEPRINT 2010 ACORD CERTIFICATE OF INSURANCE CHANGES CONSTRUCTION PRACTICE LIKELY ISSUES CONSTRUCTION CONTRACTS

CERTIFICATE OF LIABILITY INSURANCE

Thank you for your interest in joining the LiteGear family!

Certificate of Insurance (COI) and Exhibitor Designated Contractor (EDC) Policies, Procedures, and Notification of Use Form Deadline: May 13, 2019

OVERSIZE LOADS TYPES OF PERMITS ISSUED

PARADE APPLICATION RULES

Travel Demand Model Development and Improvements

CERTIFICATE OF LIABILITY INSURANCE

October 1, To all Owners of. 66 Cleary Court Condominium Owners Association 66 Cleary Court San Francisco, CA

SAME JETC May 22-23, 2013 San Diego Convention Center San Diego, California

Fl POLICY [XJ JECT PRO- D LOC PRODUCTS - COMP/OP AGG $ OTHER: $ A-7CA /1/2018 7/1/20 19!Ea accidenll

NEW VENDOR PRE-QUALIFICATION FORM


Rudolph Libbe Inc Subcontractor / Vendor Prequalification Instructions

Established in 2006, serving US and Canada with TL, LTL. Our team working 24/7 to provide all the support that you need.

Countrywide Express Inc.

CERTIFICATE OF LIABILITY INSURANCE

ANC 1B TRANSPORTATION COMMITTEE Thursday, November 19, :00-8:15 p.m. Columbia Heights Recreation Center 1480 Girard Street, NW AGENDA

VENDOR INSURANCE REQUIREMENTS

ATLAS TRUCKING AND LOGISTICS, LLC

Summit Management Services, Inc. Vendor Management Program Requirements

Proposal For: 917 Alabama Avenue S. Bremen, Georgia Phone: (770) Fax: (770)

Transcription:

CERTIFICTE OF INSURNCE (COI) Instructions General Insurance Requirements Exhibitor shall, at its own expense, secure and maintain at all times during the event, including move-in and move-out days, the insurance listed below. ll such insurance shall be primary of any other valid and collectible insurance of Exhibitor and shall be written on an occurrence basis. Claims made policies are not acceptable and do not constitute compliance with Exhibitor s obligations under this section. CONDITIONS Workers compensation and employer s liability insurance complying with the laws of the state in which the Event is being held. Comprehensive General Liability insurance with limits not less than 1,000,000 each occurrence, 2,000,000 aggregate, combined single limit for bodily injury and property damage, including coverage for personal injury, contractual, and operation of mobile equipment, products and liquor liability (if applicable). utomobile Liability insurance with limits not less than 500,000 each occurrence combined single limit for bodily injury and property damage, including coverage for owned, non-owned and hired vehicles, including loading and unloading operators. The Exhibitor s Comprehensive General Liability and utomobile Liability insurance policies shall name as additional insureds (i) Informa Exhibitions LLC and its affiliates, Revised as of 7/18/2017 and each of their direct and indirect subsidiaries and (ii) the Event Facility. If requested, copies of additional insured endorsements, primary coverage endorsements and complete copies of policies, satisfactory to IE, shall be promptly furnished to IE. Certified copies of the Certificates of Insurance or policies shall provide that they may not be cancelled without 30 days advance written notice to IE. The Exhibitor shall obtain a waiver of subrogation from the carrier of each policy described above and the carrier of each other policy that provides fire, explosion or any other risk coverage insuring the Exhibitor s property, in each case releasing in full such carrier s subrogation rights. *IE = Informa Exhibitions Domestic Exhibitors ll exhibitors must carry and maintain insurance. DO NOT send a copy of your certificate of insurance to Show Management. These requirements are stated in the terms and conditions section of the booth contract. Our requirements are as follows: 1. Exhibitor shall carry and maintain during the period of the Expo, including move-in and move-out days, and at its sole cost and expense, personal injury and proper damage coverage under policy of general public liability insurance.

2. If you need to purchase Insurance for SupplySide West 2018, please contact K&K Insurance. International Exhibitors ll International exhibitors must carry and maintain insurance. DO NOT send a copy of your certificate of insurance to Show Management. These requirements are stated in the terms and conditions section of the booth contract. Our requirements are as follows: 1. Exhibitor shall carry and maintain during the period of the Expo, including move-in and move-out days, and at its sole cost and expense, personal injury and proper damage coverage under policy of general public liability insurance. 2. If you need to purchase Insurance for SupplySide West 2018, please contact exhibitorinsurance.com. Exhibitor ppointed Contractors EC General Insurance Requirements ECs providing services at Mandalay Bay Convention Center must provide Show Management with a COI including the following: Coverage of 3,000,000 per occurrence on carpet and 5,000,000 per occurrence on concrete. If your company works in Mandalay Bay multiple times in a year, an annual COI is acceptable. It should span yearly (ex. pril 2016 to pril 2017). ny contractor / vendor that does not have a current COI on file with Show Management is not authorized to work on the premises. Worker s Compensation insurance in the amounts required by statutory worker s compensation requirements. Employer s liability limits of 100,000 each accident. Comprehensive general liability insurance providing at least 1,000,000 in coverage and naming Informa Media Inc, Informa Business Media Inc, and their respective affiliates, Mandalay Bay Convention Center and Freeman as additional insured. How to Submit Your EC Insurance 1. Go to exhibitorinsurance.com a. Click Upload Certificate i. Event Name: SupplySide West 2018 ii. Event City: Las Vegas iii. Organizer Name: Informa Exhibitions

PRODUCER Insurance gent/broker Name Insurance gent/broker Street ddress or P.O. Box Insurance gent/broker City, State & Zip Code Contact & Phone Number INSURED Exhibitor Name ddress CERTIFICTE OF LIBILITY INSURNCE DTE (MM/DD/YYYY) Month//Year THIS CERTIFICTE IS ISSUED S MTTER OF INFORMTION ONLY ND CONFERS NO RIGHTS UPON THE CERTIFICTE HOLDER. THIS CERTIFICTE DOES NOT MEND, EXTEND OR LTER THE COVERGE FFORDED BY THE POLICIES BELOW. INSURERS FFORDING COVERGE NIC # INSURER : Name of Insurance Company Enter NIC# INSURER B: Name of Insurance Company (if applicable) Enter NIC# INSURER C: Name of Insurance Company (if applicable) Enter NIC# INSURER D: Name of Insurance Company (if applicable) Enter NIC# INSURER E: Name of Insurance Company (if applicable) Enter NIC# COVERGES THE POLICIES OF INSURNCE LISTED BELOW HVE BEEN ISSUED TO THE INSURED NMED BOVE FOR THE POLICY PERIOD INDICTED. NOTWITHSTNDING NY REQUIREMENT, TERM OR CONDITION OF NY CONTRCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICTE MY BE ISSUED OR MY PERTIN, THE INSURNCE FFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO LL THE TERMS, EXCLUSIONS ND CONDITIONS OF SUCH POLICIES. GGREGTE LIMITS SHOWN MY HVE BEEN REDUCED BY PID CLIMS. INSR LTR DD L INSRD TYPE OF INSURNCE GENERL LIBILITY COMMERICL GENERL LIBILITY CLIMS MDE OCCUR GEN L GGREGTE LIMIT PPLIES PER: POLICY PROJECT LOC UTOMOBILE LIBILITY NY UTO LL OWNED UTOS SCHEDULED UTOS HIRED UTOS NON-OWNED UTOS POLICY NUMBER POLICY EFFECTIVE DTE (MM/DD/YY) POLICY EXPIRTION DTE (MM/DD/YY) LIMITS ECH OCCURENCE 1,000,000 DMGE TO RENTED PREMISES (Ea occurrence) MED EXP (ny one person) 100,000 N/ PERSONL & DV INJURY 1,000,000 GENERL GGREGTE 2,000,000 PRODUCTS - COMP/OP GG 1,000,000 COMBINED SINGLE LIMIT (Each Occurrence) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DMGE (Per accident) GRGE LIBILITY NY UTO EXCESS/UMBRELL LIBILITY OCCUR DEDUCTIBLE CLIMS MDE RETENTION Enter mount (if required) (if required) UTO ONLY - E CCIDENT OTHER THN UTO ONLY: ECH OCCURRENCE GGREGTE E CC GG Enter Limit Enter Limit WORKERS COMPENSTION ND EMPLOYERS LIBILITY NY PROPRIETOR/PRTNER/EXECU- TIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIL PROVISIONS below WC STTU- TORY LIMITS OTH- ER E.L. ECH CCIDENT E.L. DISESE - E EMPLOYEE E.L. DISESE - POLICY LIMIT OTHER DESCRIPTION OF OPERTIONS / LOCTIONS / VEHICLES / EXCLUSIONS DDED BY ENDORSEMENT / SPECIL PROVISIONS Informa Media Inc, Informa Business Media Inc, and thei respective affiliates Event facility General Service Contractor ny additional vendors that exhibitor contracts with for the event. CERTIFICTE HOLDER Exhibiting company CNCELLTION SHOULD NY OF THE BOVE DESCRIBED POLICIES BE CNCELLED BEFORE THE EXPIRTION DTE THEREOF, THE INSURER FFORDING COVERGE WILL ENDEVOR TO MIL 30 DYS WRITTEN NOTICE TO THE CERTIFICTE HOLDER NMED TO THE LEFT, BUT FILURE TO DO SO SHLL IMPOSE NO OBLIGTION OR LIBILITY OF NY KIND UPON THE INSURER, ITS GENTS OR REPRESENTTIVES.

UTHORIZED REPRESENTTIVE CORD 25 (2001/08) CORD CORPORTION 1988

IMPORTNT If the certificate holder is an DDITIONL INSURED, the policy(ies) must be endorsed. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGTION IS WIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLIMER The Certificate of Insurance on the reverse side of this form does not constitute a contact between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. CORD 25 (2001/08)