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Home My WebLink AboutHALL IRWIN CORPORATION - INSURANCE CERTIFICATE 2022-2023DATE (MMIDDIYYYY) ACOR� CERTIFICATE OF LIABILITY INSURANCE �� 12/30/2022 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: Katie Smothers CRS Insurance Brokerage PHONE Fax 9780 S Meridian Blvd Suite 400 aic No eXc : 303-996-7800 aic No : 303-757-7719 Englewood CO 80112 ADDR�ess: ksmothers crsdenver.com INSURER(S) AFFORDING COVERAGE NAIC # iNsuReRa: Westfield Insurance 24112 INSURED HALIR-1 INSURERB: PIIlIlBCOI ASSUf81lC@ 41190 Hall-Irwin Corporation iNsuReRc: United Specialt Insurance Co 12537 5586 W 19th St., Suite 2000 Greeley CO 80634 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:833936060 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 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DDIYYYY MM/DDIYYYY C X COMMERCIALGENERALLIABILITY Y ATN2285587 12/31/2022 12/31/2023 EACHOCCURRENCE $1,OOQ000 DAMAGETO RENTED CLAIMS-MADE %� OCCUR PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 X WY EL Stop Gap PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $2,000,000 POLICY � jE � � LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: Stop Gap Liability $ 1,000,000 A AUTOMOBILELIABIUTY Y CWP7976721 12/31/2022 12/31/2023 COMBINED SINGLE uMIT g 1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ C UMBRELLA LIAB X OCCUR BTN2289603 12/31/2022 12/31/2023 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION $ $ g WORKERSCOMPENSATION 4021105 1/1/2023 1/1/2024 X PER OTH- AND EMPLOYERS' LIABILITY Y� N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPER4TIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased and Rented Equipment CWP7976721 12/31/2022 12/31/2023 Limit 1,000,000 Special Form/ACV/100% Coinsurance Deductible 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P. O Box 580 Fort Collins CO 80522 ACORD 25 (2016/03) AUTHORIZED REPRESENTATIVE � ��l ��r� O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO THIS END4RSEMENT CHANGES THE P4LICY. PLEASE READ IT CAREFULLY. v�ESTrr��D // SERIES 5� C/ BUSINESS AUT4 END4RSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE The coverage provided by this endorsement is summarized below and is intended to provide a general coverage description only. For the details affecting each coverage, please refer to the terms and condi- tions in this endorsement. A. Who Is An Insured broadened: • Additional Insured by Contract, Agreement or Permit • Legally Incorporated Subsidiaries • Newly Acquired Organizations B. Supplementary Payments • Bail Bonds - $5000 • Loss of Earnings - $500 C. Fellow Employee Exclusion Amendment D. Coverage E�ensions • Transportation Expenses • Personal Effects (Excess Basis} E. Additional Coverages • Expenses paid for returning a stolen covered auto • Fire Department Service Charge F. Airbag Coverage - Accidental Discharge G. Glass Repair - Waiver of Deductible H. Knowledge and Notice of an Accident, Claim or Suit I. Unintentional Failure To Disclose Hazards J. Worldwide Coverage K. Definitions • Bodily Injury Redefined In addition to the policy amendments contained in A. through K. listed above, the endorsements listed below will automatically be attached to your policy to complete the coverage provided by the Signature Series Business Auto Endorsement: • Audio, Visual and Data Electronic Equipment Coverage Added Limits - CA 99 60 • Auto Loan/Lease Gap Coverage - CA 20 71 • Drive Other Car Coverage - Broadened Coverage For Named Individuals -(Executive Officers/Spouses} - CA 99 10 • Employee Hired Autos - CA 20 54 • Employees As Insureds - CA 99 33 • Hired Auto Physical Damage (Refer to Auto Declarations page} • Rental Reimbursement Coverage - CA 99 23 • Waiver of Transfer of Rights of Recovery (Waiver of Subrogation) - CA 04 44 A. WHO IS AN INSURED BROADENED SECTION II - COVERED AUTOS LIABILITY COVERAGE, item A. Coverage, 1. Who Is An Insured is amended to include the following additional paragraphs: d. Any legally incorporated subsidiary of yours in which you own more than 50% of the voting stock on the ef- fective date of this endorsement. However, "insured" does not include any subsidiary that is an "insured" under any other liability policy or would be an "insured" under such a policy but for its termination or the exhaustion of its limit of insurance. CA 70 77 10 13 Page 1 of 3 Coverage under this provision is af- C. forded only for the first 180 days af- ter you acquire or form the organization or until the end of the policy period, whichever comes first. e. Any organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership or a majority in- terest. However, coverage under this provision: (1) Does not apply if the organiza- tion you acquire or form is an "insured" under another auto li- ability policy or would be "in- sured" under such a policy but for its termination or the ex- haustion of its limits of insur- ance; (2) Does not apply to "bodily injury" or "property damage" that oc- curred before you acquired or formed the organization; and (3) Is afforded only for the first 180 days after you acquire or form the organization or until the end of the policy period, whichever comes first. Any person or organization with whom you agreed in writing in a contract, agreement or permit, to provide insurance such as is af- forded under this policy. This provision only applies if the written contract or agreement has been executed or permit has been issued, prior to the "bodily injury" or "property damage". B. SUPPLEMENTAL PAYMENTS SECTION II - COVERED AUTOS LIABILITY COVERAGE, item A. Coverage, 2. Coverage E�ctensions, a. Supplementary Payments, sub- paragraphs (2) and (4) are deleted and re- placed with the following: (2) Up to $5,000 for cost of bail bonds (including bonds for re- lated traffic law violations} re- quired because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses in- curred by the "insured" at our request, including actual loss of earnings up to $500 per day be- cause of time off from work. FELLOW EMPLOYEE EXCLUSION AMEND- MENT SECTION II - COVERED AUTOS LIABILITY COVERAGE, item B. Exclusions, 5. Fellow Employee does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire. D. COVERAGE EXTENSIONS SECTION III - PHYSICAL DAMAGE COVER- AGE, Item A. Coverage, 4. Coverage E�cten- sions, a. Transportation Expenses is replaced with the following: a. Transportation Expenses We will pay up to $100 per day to a maximum of $1,800 for transporta- tion expense incurred by you be- cause of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". The following is added to Item 4. Cover- age E�ensions: c. Personal Effects E. ADDITIONAL COVERAGES SECTION III - PHYSICAL DAMAGE COVER- AGE, A. Coverage, is amended to include the following additional coverage items: 5. 6. We will pay up to $500 for the "loss" of your personal effects that are contained in a covered "auto" due to the total theft of the covered "auto." We will pay only for those personal effects that are contained in covered "autos" for which you carry either Comprehensive or Specified Causes Of Loss Coverage. Our payment for "loss" of or damage to personal effects will apply only on an excess basis over other collect- ible insurance. We will pay the expense of returning a stolen covered "auto" to you. Fire Department Service Charge When a fire department is called to save or protect a covered "auto", its equip- ment, its contents or occupants from a Covered Cause Of Loss, we will pay up to $1,000 for your liability for Fire De- partment Service Charges: CA 70 77 10 13 Page 2 of 3 (a) Assumed by contract or agreement prior to loss; or (b) Required by local ordinance. No deductible applies to this additional coverage. F. AIRBAG COVERAGE - ACCIDENTAL DIS- CHARGE SECTION III - PHYSICAL DAMAGE COVER- AGE, Item B. Exclusions, subparagraph 3.a. is deleted and replaced with the following: a. Wear and tear, freezing, mechanical or electrical breakdown. Mechanical breakdown does not ap- ply to the accidental discharge of an airbag. G. GLASS REPAIR - WAIVER OF DEDUCTIBLE SECTION III - PHYSICAL DAMAGE COVER- AGE, item D. Deductible the following para- graph is added: No deductible shall apply to glass dam- age if the glass is repaired rather than replaced. H. KNOWLEDGE AND NOTICE OF AN ACCI- DENT, CLAIM OR SUIT SECTION IV - BUSINESS AUTO CONDITIONS, Item A. Loss Conditions is amended as fol- lows: Subparagraph a. under Item 2. Duties In The Event Of Accident, Claim, Suit Or Loss, is amended to include the following paragraphs: This requirement applies when the "accident," claim, "suit" or "loss" is first known to: (1) You, if you are an individual; (2) A partner, if you are a partner- ship; or (3) An executive officer or insur- ance manager, if you are a cor- poration. Subparagraph b.(2) under 2. Duties In The Event Of Accident, Claim, Suit Or Loss is amended as follows: (2) Immediately send us copies of any request, demand, order, notice, summons or legal paper received concerning the claim or "suit." Your employees may know of documents received concerning a claim or "suit". This will not mean that you have such know- ledge, unless receipt of such documents is known to you, any of your executive officers or partners or your insurance manager. � UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Under SECTION IV - BUSINESS AUTO CON- DITIONS, B. General Conditions, 2. Concealment, Misrepresentation Or Fraud is amended to include the following additional paragraph: If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not deny coverage under this Coverage Part because of such failure. J. WORLDWIDE COVERAGE Under SECTION IV - BUSINESS AUTO CON- DITIONS, B. General Conditions, 7. Policy Period, Coverage Territory, subparagraph (5) is deleted and replaced with the following: (5) Anywhere in the world, if: (a) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 45 days or less; and (b) The "insured's" responsibility to pay damages is determined in a"suit" on the merits, in the United States of America, Puerto Rio or Canada or in a settlement we agree to. (c) If, for such "autos" a"suit" is brought outside the territory de- scribed in 7.(1} through 7.(4} above, we will reimburse the insured for defense expenses incurred with our written con- sent, but we will make no pay- ment, nor will we reimburse the insured for damages. K. DEFINITIONS Under SECTION V- DEFINITIONS, Item C. is replaced by the following: C. "Bodily injury" means bodily injury, sick- ness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. "Bodily injury" includes mental anguish or other mental injury resulting from "bodily injury". CA 70 77 10 13 Page 3 of 3 Policy Number: ATN2285587 COMMERCIAL GENERAL LIABiLiI'Y CG 20 10 0413 TNIS ENDORSEMENT CNANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED PERSON OR ORGANIZATtON 7his endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILlTY COVERAGE PART SCHEDULE Name Of Additionai knsured Person{s) Or Or anization(s �ocation(s Of Covered Operations As required by written contract, fully executed prior to the named As required by written contract, fully executed prior to the insured's work. - ongoing named insured's work. - ongoing lnformation re uired to com lete this Schedule, if not shown above, will be shown in the Qeclarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property darnage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s} designated above. However: B. With respect to the insurance afforded to these additionaf insureds, the following additionai exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has beer� put to its intended use by any person or organization other 1. The insurance af#orded to such additional insured only than another contractor or subcontractor engaged applies to the extent permitted by law; and in performing operations for a principal as a part of 2. if coverage provided to the additional insured is the same projecE. required by a contract ar agreement, the insurance afforded to such additional insured will not be braader than that which you are required by the contract or agreement to provide for such additiona[ insured. CG 20 10 04 13 O Insurance Services Office, Inc., 2012 Page 1 0# 2 C. With respect to the insurance afforded to th�se additional insureds, the following is added to Section III — Lionits Of Insurance: If coverage provid�d to the additional insured €s required by a co�tract or agreemen#, the most we wi91 pay an behalf of #he addi�ianal insured is �he amount of insurance: 9. Required by th� contract or agreement; or 2. Available under the applicable �.imits af Insurance shawn in the Declarations; whichever is less. This �nd�rs�ment shall not increase the applicable Limits of I�surance shown in the Declarations. F'age 2 of 2 O Insurance Services �ffic�, Inc., 2012 CG 2010 a4 �3