The URL can be used to link to this page

Home My WebLink AboutWINSTON COLE, LLC DBA PELLA WINDOWS & DOORS, LLC - INSURANCE CERTIFICATEACORD� DATEjMMlDp/YYYYj �, CERTIFICATE OF LIABILITY INSURANCE �r�zrzo2a THIS CERTIFiCATE I$ ISSUED AS A MA7TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEii. THIS CERTIFICA7E Dp�S NOT AFFtRMATIVELY OR NEGATIVELY AMENQ, EX7£ND OR ALiER TNE COVEFiAGE AFFORDED BY TNE POLICIE5 BELOW. THiS CEATIFICA7E OF INSURANCE DOES NOT CONSTITUTE A CON7RACT BETWEEN THE ISSLIING INSURER(S), AUTHORIZED REPRESENiATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the caRificale holder is an ADDITIONAL INSURED, the policy(ies} must have ADDITIONAL INSURED provisions or be endoraed. If SUBROGATION IS WAIVEp, subJect to ihe terms end conditiona of the policy, cer4ain poElciea may requfre an endorsement. A ststement o� thls cenificate does not confer ri hta to the certiticate holder in Ifeu of euch endorsement(s}. PRODUCER NAME: K8fQ11 S8I8S Arthur J. Gallagher F2isk Management Services, LI.0 PFiONE g�6 395 8547 '1N No1; 816-472-5517 4622 Pennsylvania Avenue, 5uite 920 ��--�---� Kansas City N10 64112 aUOA��ss: Karen Salas�ajg.com INSURER Sf AFF6RDINp COVERAQE NAIC N _.iHs�RERn; Emp�ers Mutual Casual' Com an 21415 INSURED V'ANSCOI-02 INSURER B: PIt1f18C0) ASSUf811GQ CO�TI�jI 41190 Winston Cole, LLC --- — -- --- dba Pella Windows & Daors, LLC �NSURER C: __ � _ 4200 Carson Street INSURER p� Denver CO 80239 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER:1687828863 REVISION NUMBER: THIS IS TO CERTlFY THAT THE POLICIES OF INSURANCE I.ISTED BELOW HAVE SEElV ISSUED 70 THE INSURED NAMED A90VE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OF COIJDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WFiICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO BY TFiE POLICIES DESCRIBED HEREIN IS SUBJECF TO ALL THE TERMS, EXCLUSIONS AND COFJDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AA�DL $�(1�fS - � � � � �� -� �� POUCY EFF POIICY�E%P � LTR TYPEOFINSURANCE POLICYNUMSER MM/DD/YYYY MMlODlvYYY LIMITS A X COMMERCIALCSENERALL1ABlllTY Y Y 6p54622 1/1J2024 1+112025 EACHpCCUARENCE 51,000,000 6AT,�l�E TbRER7E6"- CLA1M5-MADE x� OCCUR PREMISES IEa oCCunenCg S 500,000 MED EXP (An one person) 3 10,000 PERSONAL & ADV INJUFY $1,000,400 Y GEN'L AGGREGATE LIMiT APPLIES PER: GENERaI nGGREGaTE 52,000,400 POLICY %� ; jE � j_ X 1 LpC PRODUCTS • COMPlOP AGG S 2_000,000 OTHER: g A AU70MOBILELIABItitY V Y 6M54622 1/V2024 1�7l2025 MBINED IN LELIMIT g�,fl00,000 E eccidgnl ��_ X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accldenly $ AUTOS ONLY AUTOS X HIRED X NQN-OWNED PROPERTY DAMAGE $ ��i � AUTOS ONLY AUTOS ONLY Per acdtlent $ A X UMBREILALIAB X OCCUR Y Y 6J54622 1/1I2024 1�11Z025 EACHOCCURRENCE $S,OOO,040 EXCESS LIAB C�AIMS-MADE AGGREGATE $ 5,000,000 DEO I`� RETENTIONS � µ �� S `� g WORKERSCOMPENSATION Y 4239504 1I1/2024 111J2025 X PER OTH• AND EMPLOYERS' ItABILITY �� N STATUTE ER ANYPROPRiETOR/PARTNER/EXECUTIVE � NJA E.L.EACHACCtDENT 51,000.000 OFFICE R/MEMBER EXCLUDED4 � (Mendetory in NH) E.i.. DISEASE - EA EMP�OYEE $ 1,000,000 II yes, descrlbe untler DESCRIPTION OF OPERATIONS bebw E.L. DISEASE POLICY LIMIT $ 1,000,000 DESCRtPTtON OF OPERATIONS/ LOCATIONS! VEHICLES (ACOHO 701. Addltipnal Remarke Schsdula, mey be etteched if mare epeu is requfred� Genera! Liability - Blanket Additional Insured - Owners, Lessees or Conlractors - Automatic Status When Required in Consiruction Contracts or Agreement Including Completed Operalions - Primary and Noncontributory per form CG 7174 - Blanket Additional Insured - as Required by Contract per form CG 7579 - Blanket Waiver of Subrogation per form CG 7578 - Blanket Primary and Non-contributory Additional Insured per form CG 7578 CERTIFICATE H City of Fori Collins Communiiy Development and Neighborhood Sery 281 N. College A Fort Collins CO 8Q526-d400 �y� ��7 l� 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2016/03) CANCELLATION $kOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATIUN DATE THEREOF, NOTICE WILL BE DELiVERED IM ACCORDANCE WITk THE POLiCY PRpY1SIOt�FS. AUTHORIZED REPRESENTATIVE � bA7E (MNiDDlYYYY) A�ORO� CERTIFICATE OF LIABILITY INSURANCE ��grz02A TNIS CERTIFIGATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAtf HOLDER. Tiif5 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAI�VELY AMEND, EXTEND pR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE bF INSURANCE DOES NOT CONSTtTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTWORIZED REPRESEtJTAiIVE OR PRODUCER, AHO THE CERTIFICATE HQLDER. IMPOATAtVT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL lN5URE0 provisions or be endorsed. if Sl18ROGATiON IS WAIVED, subject to the terms and condfNons of the policy, Certain policies may require an endorsement. A statement on this certiflcate doe5 not confer ri hts to the certlffcate holder In lieu of such endorsement(s . PAODUCER NaME � Samuel Feldmart CRS Insurance Brokerage PHONE . 303-996-7800 � ac r,o : 303-757-7719 9780 S Meridian Blvd Suite 400 E�Ma� Englewood CO 80t 12 no�aess: sfeldm_ an cLiicrsdenver com _ iNSURED Colorado Civil Infrastructure, Inc. 2049 W Hamilton PI. Englewood CO 80110 INSURERA: �If1f12C0�l�SSUf3f1CB coav•z �Nsus�Re: Selective Ins. Co of Amerfca INSURE R C : INSUREfi D : lNSURER E : NAIC 0 41190 12572 COVERAGES CEA7IFICATE NUMBER:2009667939 REVISION NUMBER: THIS IS TO CERTIFY THAT iHE POtICIE5 OF INSURANCE LISTED BELOW HAVE BEEN ISSl1ED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INOICATED. NOTWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 07tiER D�CUMENT WITH RESPECi t0 WHICH THIS CERTIFICATE MAY BE ISSUED OFi MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIGES DESCRI$EI� HEREIN IS SUBJFCT TO ALL THE TERMS. EXCLUSIONS AND CpNDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUBR POLICY EFF POLICY EXP LTR TYPEOFINSURAHCE IN O WV01 POUCYNUM9ER MAI�'DDlYYYY MMlDDIYYYY LiMTS 8 X COMMERCIALGENEqALL1A81UTY y S2505300 3/1l2023 31112Q24 EqCHOCCURRENCE 51.000,000 CLAIMS•MADE x pCCUR DAMA 10 R N J _ PRCMISES (£a ocairrence}_ S 5d0,00Q � MED ExP tAny oro pe�son) S 15,000 I PERSOVAL & hOV INJURY 5 1.00O,D00 G£N'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE 52,000,000 pOUCY � �E � LOC PRp6UCTS - COMP;OP AGG b 2.004,006 QTHER S B AUTOMOBILE UABIUTY 52505300 3/1l2923 3r�t2o24 COMBINED SINGLE L� S 1.000,000 �Ea a:ndenl) x ANY AUTO BpDILY INJURV (Per person} y OWNE� SCHEDULED j BODILY IN,IURV (Pe� ax�dentl $ � AUTOS ONLY AUTOS x� HiREO X NONOWNED PROPERTYDAMAGE S AUTOS O�ILY AUi05ONLY �tPer acciden�( j J a B X i uMBRELUILIAB � p�CUR 525053d0 � 3l1l2023 3/1/2024 � EqCHoc;CURflENCE 55,000.000 � Ef(CESS tIA6 ��,q�MS-MAOE ff AGOREGAT£ S 5,OOD,OOU � DEO I^ j RETENTIONS { �f b q WORKERSCOA7PENSATION 4189142 � 2J1l2024 211J2O25 X SFATUTf E�Rµ AND EMPLOYERS' LIABILiTY YtN ANYPROPFIETOR�PAR7NEPoEXECUTIVE � N/ A E.L EACH ACGIDENi E 1.000,000 OFFICER'MEA46E R EXCLUOED? {Mandatory In NM) ! � E L DISF.ASE EA FMPL.OYEE S 1,000,000 � tl yo-s, describe wider I pESCRIPTION OF OPEflATIONS bebw E I E.L DISEASE - POLICY LIMIT j 1,000,000 B Leased end Rented Equipment 525053Q0 3/1/2023 3/1/2024 LimA 100,004 Dedu cubl e 1, 000 DESCRIPTION OF OVERATIONS+ LOCATIONS YEHICLES [ACORo t01, AddlUooel Rernsrke 9chedule, may be attaclied if more epece ta reQuked) Ramos Diaz-Owner City ot Fort CoAms is kncluded as additional msured on the Genera Liability with respect to ongoing operations of the named fnsured for the certificate holder as required by written contract ICATE HOI.DER Ciry of Fort Collins Development Review Center 281 N Coliege Ave Fort Coilins CO 80524 ACORD 25 {2016/03) SHOULD ANY OF THE ABOVE DESCR18E0 PQLICIES BE CANCELLED B�FOFiE THE EXPIRATION DATE THEREOf, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH 7HE POUCY PROVISIONS. AUTH�AIZEO RfVRESENTATiYE � �i'f�--�.�# � � / . ' `r' f�''^,-. ,r� � 1988-2015 ACORD CORPORATION. All rigfits reserved. The ACORD name and logo are �egistered marks of ACORD 5976: 2 ' of �. PO Box 2368 8loomfngton IL 61702-2368 rs2a aT, 2a 002893 0093 CITY OF FORT COLLINS, PURCHASING DIVISION PO BUX 580 ' s FORT COLLINS CO 80522-0580 � �lii��i��iliill��li��iii�u��i��ni�lllil��i��luillll�l�li � � � 0 0 � DATE OF N�TICE: JAN 15 2024 CODE: NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATiON. AD�iTIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Campany 1902-FBBBA NAMED INSURED: POLICY NO; 197 7465-A01-44 COVERAGE: STANTON CONSTRUCTABILITY YR/MAKE/MODEL: 2016 FORD PICKUP BI AND PD LIABILITY SERVICES LLC VIN/CAMPER: 1FTEW1EG1GKF83287 $� MIL PQ BOX 581 127 AGENT NAME: MATSON 1NS AND FIN SRVCS INC $500 DED. CQMP. SALT LAKE CTY UT 841 58-1 1 27 AGE�lT PHONE: SSoo DED. COLL. ENDORSEMENT NO: 60P8$J� 4447 pOLICY EFFECTIVE JAN 01 2024 UNTIL TERMINATED v � � c N ro 90 0 � c 8 N POLICY MESSAGES: This policy shown above supersedes policy# 1245810-44Z. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent ot ihe insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. UMiI such noiice is provided, it shall be presumed that the required renewal premiums have been paid. The additionai insured must notity us wiihin 1 o days ot any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. F.q1 o �R � CERTIFICATE 4F LlABILITY INSURANCE DOli15l20�onvnr� THIS CERTIFICATE IS iSSUED AS A MATTER OF INFORiNATION 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 pF INSURANCE DOES NOT CONSTITt1TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICA7E 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 ta the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cerlificate does not conier rights to the certificate holder in lieu of sucfi endorsement(s). PRODUCER CONraCT Marsh U.S.Operalions NAME: MARSH USA. LLC. vHONE 866�966 4664 FAX I7 2 948 0770 540 W. Madison Sueet (ac. r+o. EKtJ: {AlC; NoJ: Chicago, u_ 606fit nonR�ess: Ch�cago.CerlReqaest@marsh.com Alm: Veolia.CerlRequeslC�marsh.com � Fax: 212-948-5053 — � iNsuAeo Veolia ES Technical Solulions, LLC 53 Slale SUeet, 741h fbor Boslon, MA 02t09 INSURER(S) AFFOROING C( VESTS Boslon �NsurteR a: Everesl Nalwnal Insurance Com � +ksuReR e: Everesl Premier Insurance Comp� tNSURER C : NJA cNsuneR o: 8erkle Assurance Company cNsuReR e: National Fue & Marine Insurance Co NAIC r 1012C 16045 NfA 39461 20079 COVERAGES CERTIFICATE NUMBER: CHI-00749&336 58 REVISION NUBABER: 6 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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTMER DOCUMENT WITH RESPECi T� 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. L4MITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. INSR ADDLjSUBR POUCV EFF POLICY EXP LIbtI7S LTR nPE OF INSURANCE 1 ppLICY NUMBER MMIDD/YYYY MMlDD/YYYY a X COMMERCIALGENERALLIABILfiY RM5GL000G8�24i 41101/2024 01101I2025 EACHOCCURRFNCE $ ��•� D'AMAGE TO RENTED CLAIMS-MAOE X OCCUR PREMISES;Ea occurrenc� $ �� MEO EXP (Any one per5onl $ �� PERSONAL 6 ADV INJURY $ �'�'� G[N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGAEGATE 5 ��•� FOUCY P�� LOC PRODUCTS - COMPlOP AGG 5 ��•� X JECT — OTHER: $ A AUTOMOBILELIABILITY RM5CA00066-241 (AOS} OliO7I2O24 01/0112025 COM8INED SINGLE LIMIT $ �� Ea aceidenf� A X aNv nuro RMSCA00065-241 (MA� O110112024 �110112025 BODILY INJURY (Per perwN 5 OWNED SCHEDULEO �ODILY INJURY (Per accidenl) $ AUTOS ONLY AUTOS HIRED NON-OWNED �'�OPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY _(Per accidant) S UMBRELLA LIAB OCCl1R EACH OCCURRENC@ $ EXCESS LIAB CLAIMS-MAD£ AGGF7EGA7E $ UED RFTENTION $ � B WORKERSCOMPENSATION RMSWC00092•241 (AdS) Ol Ol 2024 Oi10112625 x PER QTH• pND EMPLOYERS' LIABII.ITY STATUTE ER B V!N RM5WC00094-241(FL,ME,N)j 01/011202A O110112025 �.ppp,ppp ANYPROPFtIETOWPARTNERlEXECUTIVE N �! A E.L. EACH ACCIDENT $ g OFFICER/M£MBEREXCLUDE07 ❑ RM5WC00095-241 (WI, MA) 01/0112024 O1N?112025 {Mandatory in NH) E.L. DISEASE • EA EMPLOYEE $ �•�� If yes, descnbo uM1er DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ �•�� E CPL - SIR: Si,000,U00 42 CPL-326094-p2 O1l0112024 0710112025 OccurencelAggregale 1,000,000 D E&Q - SIR: 510.000.000 PCAB-5024616-0124 O11011202d 01l0112025 Per ClairtrlAggrPtjale 1,0OO.OpO DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Ramarka Schedule, may be atlached it more space is required) City ot Fon Couins is included as atldilional insured {�xcept as respecls all coverage aflorded by wakers' compensalan and professional liability) where required by written contracl bul a�ly fa liability arising out of the operations ol lhe nam�d insured. A waivcv of subrogalion is granled as requireci by wrilten contraG bul only fa liabihty arising c�ut of Ihe operalions of ihe named insured. CERTIFICATE HOLDER City of Fort Colfins P.O. Box 580 Fart Collins. CO 80522 GANCELLATlON SHOULD ANY OF 7HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE EXPIRATION DA7E THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORlZED REPRESEN7ATIVE '�'Jiasidlc 2L �>� .L�l�C O 1988-2016 AGORD CORPORATION. All rights reserved. ACORD 25 (2016/03} The ACORD name and logo are registered marks of ACORD xacerar�,r 5 I A 1 t fAhiM� �. PO 8ox 23&8 BJoomington !L 61702-2368 i58A AT1 20 003U83 0093 CITY OF FORT COLLINS, PURCHASING DIVISION PO BOX 580 � FORT COLLINS CO 80522-0580 '�"I"��'�l��II�II��II"'�""!"I'lll�ll��'�lIII"II'��I��"� 0 0 8 � :� 0 0 A DATE OF NOTICE: JAN 12 2Q24 CODE: NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE 70P, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. ADDIiIONAL INSURED'S N�TICE OF COVERAGE State Farm Mutual Automobile Insurance Company 1902-F888A NAMED INSURED: POLICY NO; 197 7a65-AOti-4a COVERAGE: STANTON CONSTRUCTABILITY YR/MAKElMODEL: 2016 FORD PiCKUP BI AND PD L1ABlLI7Y SERVICES LLC VIN/CAMPER: 1FTEW1EG1GKF83287 $� M�' $500 DED. COMP. Pp BpX 58� t27 AGENT NAME: MATSON IN5 AND FIN SRVCS INC $500 DED. COLL. SALF LAKE CTY UT 84158-1127 AGEN7 PIii3NE: (801)981-4447 ENDORSEMENT NO: fi028BJ PQLICY EFFECTIVE JAN 01 2024 UNTfI. TERMINAI'ED a � � � N � � 0 m 0 8 N POLICY MESSAGES: ih�s policy shown above supersedes policy# 1245810-44Z. The policy includes a loss payable clause protecting the additional insured's interest �n ihe described car to ihe extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. 7he additionai insured must notify us with�n 10 days ot any change of interest or ownersh�p coming to iheir attention. Failure to do so will render this policy null and void. rRr pATE (MM1DDlYVri) ACORO� CERTIFICATE OF LIABILITY INSURANCE �� ` o,i2s�2o2a TF{�S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGH75 UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ROES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY T1iE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANU THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIdNAI INSURED, the policy(ies} must have ADDITIONAL INSURED provislons or be endorsed. li SUBROGATION IS WAIVED, subJect to the terms and condittons of the policy, certain policies may requlre an endorsement. A statement on this �ertiticate does not confer rights to the certificate holder in lieu of such endorsement�s). PRODUCER NTA T Mpody-Valley InsuranceAgenCy, InC. NAME: Moody-Valiey insurance Agency. Inc PHpkN Ex ;(970j 246-8300 �C No :(970) 242-1894 760 Horizon Drive. 5uite 302 E-MAIL �rtrequestgj@moodyins.com ADDRESS: tNSURER�S) AFFORUING COVERAGE NASC q Grand Junction CO 815Q6 iHsuRERA: American Select Insurance Co 19992 INSURED INSURER B: Pin�8C01 ASSUfdnC@ 41190 Advanced Lme Systems Inc iNSurteR C: �� Hawley Insurance Company 37974 Go Jamie Poe INSURER D: 121 S W 6th AVB INSLRER E: Broomfeld C� 8�02� INSURER F: COVERAGES CERTIFICA7E NUMBER: 24/25 Master REVISION NUMBER: 7HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED NONNTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W1TH RESPECT TO WNICH TNIS CERTIFICATE MAY BE ISSUED OR MAY PER7AIN THE INSURANCE AFFQRDED BY iHE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND COND TiONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAID CLAIMS. ��7p �YPE OF INSURANCE INSD WVD POLICY NUMH£R MMIODY/YYYV MMlODIYYYY LfMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S �•000,000 CtAIMS-MADE �(k:Ci.R PREMiSES Eaoccurrence S 500,000 X WY Stop Gap-EL S,OOQ MED EXP (Arry one parson) S A Y TRA015342Y 01130l2024 01/30/2025 pERSONALBADVINJURV S 1•000,000 GEN'LAGGREGATELiMITAPPUESPER GENERALAGGREGATE S 2A00,000 X pOLICY � ECT a LOC PROWCTS-COMPfOPAGG g 2.000,060 OTHER WY Stop Gap-EL 5 1,000,000 AUTOMOBILE LIABIUTY COMBINEO SINGLE LIMIT 5 1,000,000 Ea accideM X ANYAUTO BOPILY INJURY (P9r per5ql) 5 A OWNED SCHEDULED TRA015342Y 01/3O/ZOZ4 O1/3O/ZOZS BODILV INJURY (Per acciAent) E AUTOS ONLY AUTOS HIRED v NON-0WNED PROPERTY pAMAGE S X AUTOS ONLY /� AUTOS ONLY Per accident S UMBREILA LIAB X OCCUR EACH OCCURRENCE � S,OOO,000 A X EXCESS LIAB CUIMS-MADE TRA015342Y Ol/30l202A 01/30/2025 AGGREGATE S 5,000,060 DEO X RETENTiON E� 5 WORKERS COMPENSATION X ST TUTE E�RH AND EMPLOYERS' LIABILITY y! H ANY PROPR�ETOR/PARTNEWEXECUTIVE E L EACHACCIDENT b 1,000,000 g OFFICERIAAEMBER ExCLUDED7 � N!A 4720673 02/01/2024 02/01/2025 (Mandatory In NHJ E L DISEASE • EA EMPLOYEE S 1,000,060 If yes, describe under 1,000,000 DESCRIP710N Of OPERA710NS below E L DISEASE - POLICY LIMIT S Blanket LimiVACV $896,374 Contraclors Equipment A TRA075342Y o1/3012024 01/30/2025 Deductible $500 DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additlonal Remarka Schedule, may be attached ff more apace la requfred) City of Fort Collins Engineering Dept 281 North College Ave PO Box 580 FaA Collins ACORD 25 (2016l03) SHOULD ANY OF TH� ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE ExPIRATJON DATE THEREOF, MOTICE WILL 8E DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CO 80522 �� v(.�,C,I.Q� l�}wI +(Jc,� -�ITjtQ j/Sf�f/% - � - �Q.. - - (J O 1968-2015 ACORD CORPORATION. All rights reserved. The ACORD name and Iogo are registered marks of ACORD AGENCY CUSTOMER ID: � — - - � � LOC #: '`��R�� ADDITIQNAL REMARKS SCHEDULE Page or AGENCY NAMEOINSURED Moody-Va11ey Insurance Agency, Inc. Advanced Line Systems, Inc POLICY NUMBER CARRIER NAIC GOOE EFFECTIVE OATE: ADUI I IUNAL KEMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 2$ FORM TITLE: Certificate of Liabildy Insurance: Notes Owners Jamie Poe Cody Sleinfeld, Colte Russell are excluded irom Workers Compensation coverage CONTRACTUAL LIABILITYAPPLIES PER POLICY TERMS AND CONDITIONS General Liability General Liability FormsAltached Include: Blanket Additional Insured status applies only to Ihe extent provided in iorm CG 20 10 Q4 13 and form CG 20 37 04 13 and form CG 7137 12 17 when required by writlen contracl Blanket Waiver of Subrogat�on applies only to the exlenl provided in form CG 7137 12 17 when required by writlen wnlracl Primary and Non-Contributory stat�s only ro the extent provided in form CG 7137 12 17 when required by wr�tlen contract Designated Pro�ect General Aggregate applies only to the extent provided in form CG 25 03 OS 09 when requ red by wntten conlrect Designated Location(s) General Aggregate applies only to the extent provided in form CG 25 04 A OS 09 Coniractors Pollution Liabibty: Coniractors Pollution Liabi ity - Insurer C: Ml. Hawley Insurance Company, NAIC 37974 Policy fVo EGLOOi0934, EHective 08l0912623 to 08l0912Q24. $2,000,000 Each Pollut�on lncident; $2.000,000 Aggregate L�mit 52,500 Per Claim peducSible Contractors Pollution L�ab�l�ty Forms Attached Include: Blanket Addilional Insured stai�s applies only to ihe exlenl provided in form CPL 701 03 23 when required by wniten conlract BEanket Waiver of Subrogation appiies only to the extent provided in form CPL 1Q1 Q3 23 when requ red by wntten contract Primary and Mon-Contributory status only to the extenl provided in form CPL 101 03 23 when required by written contract Auto Liability' Auto Liabilily FormsAttached Include� Blanket Additional Insured statvs applies only to the extent provided in (orm CA 70 77 10 13 when requ red by written contract Blanket Waiver of Subrogation applies only to the extent prov ded m form CA 04 44 10 13 when required by written contracl Primary 8 Ncn-Contribulory applies onty lo the extent prov.ded m form CA OA 49 11 16 when requ red by wntten contract Excess Liability Excess Liabili�y policy is on a follow form basis for the fo'lowmg underlying insurance coverages General Liab lity, Automobde Uabdity, and Empfoyers Liabilily Additional msured stalus wdl follow when reqwred by wntten contract nc�uding Pnmary and Non-Contributory status when requfred by written Worker's Compensation 359-8 From Attached Includes Blanket 1Nawer ot Subrogabon Status applies when reqwred by wntten conSract. IMPORTANT The pohcy forms referenced will be sent va emad only To oblain copies, please send your request with the email address to certrequestg�@moodyins com 1Q1 (2006/01) O 2008 ACORb CORPORATION. All rights reserved. Tha ACORD name and logo are registered marks of ACORO A a � CERTIFICATE OF LIABILITY INSURANCE �A'Q;;;6;2a24"r� THIS CERTIFICATE IS IS9UED A9 A MATTER OF INFORMATION ONLY AND CONFERS NO RIOHTS UPON THE CERTIfICATE HOLDER. THIS CERTIFICATE DOE9 NOT AFFIRMATlVELY OR NEOATIVELV AMEND, DCTEND OR ALTER TNE COYERqpE AFFORDED BY THE POLJCIES BELOMf. THIS CERTIFlCATE OF INSURANCE DOES NOT CONSTITUTE A COHTRACT BETWEEN THE ISSUINO INSURER(S), AUTHORI2Ep REpRESENTATIVE OR PRODUCER, AND THE CERTIFICA7E HOLDER. IMPORTANT: It the certiflcata holder is an ADDITIONAL INSURED, the pdicy(ies) musl have ADDITIONAL INSURED provislons or be endorsed. If SUBROOATION IS WAIVED, subJect to Me terms and condilions oi the policy, certain policiaz may require an erwforsement. A sfatemerrt on this certifleate does not cqrt}er ri to the certflicate hdder in Ileu o! tuch endorsemerrt(s). PRODUCER Nnr"aT� �T CUENT CONTACT CENTER FEDERATED MUTUAL�NSURANCE COMPANY HOME OFFICE: P O. BOX 328 AlC�No, r�at�:888-333-4949 lai, xol; 507-446-4664 OWATONNA, MN 55000 E•MAIL INSURED CONDUCT ALL SLEGTRIC 7352 GREENRIDGE RO STE A-4 W N�SOR, CO 80550-8062 aooRcss:CL1ENTCONTACTCENTER FEDINS.COM INSURERS AfFORDIHO COVERAGE NAIC q iNs�Aen a:FEDERATEO MU7UAL INSURANCE COMPANY 13935 17`2-$6S4 IN3URER B: IHSURFR C: INSURER 0. INSURER E: INSURER F: COVERAOES CERTIRCATE NUMBER: 46 REVISION NUMBER: 0 THIS tS TO CERTiFY THAT 7HE POLIClES OF IMSURANCE L'STED BELOW HAVE BEEN ISSVED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWiTHSTAND NG ANY REQUIREMENT TfRM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPEC7 TO WHICH THIS CERTIFICATE MAY BE SSUED OR MA7 AERTAIN. THE INSURANCE AFFORDEO BY 'HE POLICIES OESCRIBED HEREN -S SUBJECT TO ALL THE TERMS. EXCWSI6MS AND CONDtTIONS OF SUCH POLIC�ES. UMITS SHONRJ MAY NAVE BSEN REOl10E� BY PAID CL41MS. � TYPE Of IpSURANCE '�� POJCY �IUMBER P � EFF POUGY E%P LIMITS X COMMERCIlLL 6ENERAL UABtIITY EACH OCCURREMCE g1,000,000 CWMS•NAUE �pCCUR AMAGETO EMEOPREMIBEb E��Q MEO E%P (My one pMon) S�O�� A N N 6094153 02/'9/2024 02l19M025 pER50NAL 6 YDV INJURY �1,000 000 4ENL Al16RECATE UMIT APP�IES FER: X POLICY �E o- u LOG OTMEq: auroMos�Le uaewTv X ANYAVTO n A OWNEOAVTOSONLYI IQ��U EO N N NriEDAVTCSONLY ri^oa�o�mEo 1� �.fi1BHELLA.IAB A �xrbg.g�ipg DED RETEN7ICA WORKERS COMPENSATION ANO EMPLOYERS' LIA0ILITV PNY PROPRIETORJPARTNER/ fXECUTIVE /\ OFFlCERIMfMBERfMCWDEO? �M�ntl�bry In NH� �� yes, aaserloa u�av OESCRIPiION Of OPERATIOXS Mlow 6094�53 N � N j 6094155 N/A� N � 6094156 PROWCTJ 6 COMPIOP A06 COMBIpED SINOLE UMIT Ea �mhn HODtLY INJURY (Pa Pan 02/19/2024 02/l9/202$ gODILY INJURY IAn Ncci EACH OCCUF 02/19/2024 02/'9/202$ pcGPEOAre X PER STA7UTE � i. 02/19/2024 02/79/2025 E.L EacM acCloeNT E.L DI6EASE EA EMP�pYEE E.L DISEA�E POLICY UMIT $t,000,000 f5,000,060 ;1,0OO,OQO s1,000,000 DESCRIP710N OF OPERATIOMS 1 LOCATIOH31 �EMICLES �ACORD 101, Adeitiorol Rrm�rks SsMdule, m�y he �tl�rhed it maee spaca i� nquine� CERTIFICATE HOL,pER 172-565� CITY OF FORT COLLINS PARKING SERViCES 215 N MASON ST FL 1ST PO B�X 580 FORT COLLINS, CO 80522-0580 CANCELLATION �� SHOULD ANY OF 7HE /180VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIYERED IN ACCORDANCE WITH THE POLICY PROVtSIQNS. AUTHORIZED REPRESENTATIVE • �./ T j•^�i O 1988-ZOfS ACORD CORPORATION. AII �iyHs reserved. ACCRU 25 (2018/03) The ACORD name and logo are registared marks of ACORD �� A� O DNIHEAT-01 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDlYYYY) � nsi2a�a 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 AL7ER 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 ADDI710NAL 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 rit�hts to the ce�tifitate holder in Ifeu of such endorsementtsl. PRODUCER PFS Insurance Group 4846 Thompson Parkway Sufte 200 Johnstown, CO 80534 INSURED b.N.l. HeatinglA.C./Refrigeration Inc. PO Box 565 14196 CO Itd 7 Mead, CO 80542 sas-saoo nsurance.com �r,suRsa a: Citizens Insurance Comnanv of America fi35-9401 3�534 COVERAGES CERTIFICATE NUMBER: R�YISI�N NUMB�R: THIS IS T� CERTIFY TFiAT THE POLICIES OF INSt1RANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEd ABOVE FOR THE POLICY PERIOD INdICATED. NOIWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO VNiICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES I.IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TypE OF INSURANCE ADUL SUBR pp�CY Nl1MBER POLICY EFF POIJCY E7(P LIMITS A X COMMERCIAL GENERAL LU181LITY EACH OCCURRENCE a 1,000,000 CLAIMS�AADE X OCCUR 60539025 5I1l2023 5J�JQaQ4 DAMAGHTORENTED ��,��Q &E&1Ea�ue,7anr�l 5 _______ MED EXP M one rson E 5,�� PERSONAI 8 ADV INJURY S �,�OO,OOO GEN'L AGGREGATE LIMIT APPLIES PER GENERAI. AGGREGA7E y 2,QOO,OOO X POLICY �,j��7 [ 1 LOC PRODUCTS COMPlOP AGG 3 Z+OOO,OOO dTHER A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1,OOO,QOQ X ANY AU70 64539025 5/i i2�23 51�12024 BODILY INJURY Per rson E ONMEO SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per eccideM S X AUTOS ONLY X AU�OS ONLY ��a08��e�pAMAGE a 1 A X UMBRELLA LIAB X OCCUR FACH QCCURRENCE a 4,4��,400 excess une CLAIMS�AADE 64539025 511l2023 5I112024 pGGREGATE g 4,000,000 DED X RETENTiON S d B WORKERS COMPENSATION �( PER OTH- AND EMPLOYERS' LIABIUTY ANY PRQPRIETOR/PARTNERIEXECUTIVE Y f N B4H4T8312 ZIi JZO24 zI112O23 'I,OOO,OOO FFICER/ME Mg�� EXCLUDE6? �Y N I A E L. EACH ACCIpENT $ �iAandatory In N►f) E L. OISEASE - EA EMPLOYE S 5,��,�� It yes, describe under � 9,000,000 DESCRIPTION OF OPERATIONS bebw E L DISEASE - POUCY LIMIT DESCRIPTIOH OF OPERATIONS ! LOCATIONS / VEHICLES (ACORD 70i, Adeltlonat Remarks Schedute, may be etteched Ii more apace Is roqulmd) City of Fort Collins 261 N College Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCOROANCE WITH THE POLICY PROVISIONS. AUTHORIZE� REPRE8ENTATIVE ��;�� t�y,;� __ - ACORD 25 (2016I03) O 1988-2015 ACORD CORPQRATtON. All rights �eserved. The ACORD name and logo are registered marks of ACORD �� A� � DNIHEAT-01 CERTIFICATE OF LlABILITY INSURANCE DATE (MMlDD/YYYYj 7HIS CERTIFICATE IS ISSUED AS A MATTER pF INFORMATION ONLY AND CONFERS NO RIGH7S UPON THE CERTIFICATE HOLDFR. TIiIS 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 HOLOER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 ce�tificate does not confer rights to the certificate holde� in lieu of such endorsement(sS. PRODUCER PFS Insurance Group 4848 Thompson I'arkway Suite 20U Johnstown, CO 80534 INSURED D.N.I. HeatinglA.C.IRefrigerdtion Inc. PO Box 565 14196CORd7 Mead, CO 80542 :,,,�: (970) 635-9400 . info@mypisinsurance.com INSURERjS� AFKORDING COV� a: United Fire 8� Casualty Co e:Citizens Insurance Gomp� c: 635-9401 534 COVERAG�S CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY TtiAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAZED NOTVNTHSTANDING ANY RE�UIREMENT TERM OR CONDITIbN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, iHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOVMI MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF INSURANCE ADDL St1BR ppuCY NUMBER POUCY EFF POUCY EXP LIMIT9 A �( COMMERGIAL GENERAL LIABILITY EACH OCCURRENCE g �eQOO,OOO CLAIMS-MADE u pCCUR 60539025 51112023 511l2024 �'�`�AGE TO RENTED �D�,��a .P.SEMISES_(E��+a� $ MED EXP M one rson S b,�� PERSONAL 8 AOV IHJURY g ��OOO�OOO GEN'L AGGREGATE LIMITAPPLIES PER_ GENERAL AGGREGATE f 2,00O,OOQ X POLICY � j��T � LOC PRODUCTS - COMPlOP AGG S 2,000,000 OTHER: A AUTOMOBILE LIABILITY ��B�IN�e� INGLE LIMI7 = i3OO4,000 X ANY AUTO 60539025 511/2023 511I2024 gpDILY INJURY Per erson E OWNEP SCNEDULED AUTOS ONLY AtJTOS BODiLY INJURY Per accident E X AUTOS ONLY X AUTO� ONLY _{Pe�a�e�mpAnMGE � f A X UMBRELu� LIAB X OCCUR Ep,CH OCCURRENCE S a,OOO,OOO � EXCE5SLIAB CLAIMS-MA�E 60539025 5/1/2023 511I2024 AGGREGATE S 4,��,�� DED X RETENTI�N $ � B WORKERS COMPENSATION X PER OTH- AND EMPLOYER$' LIAHILITY Y f N yyg4H478312 y��2024 2/112025 i��0�� ANY PROPRIETOR/PARTNER/EXECUTIVE � E.L EACH ACCIDENT 5 QFFlCERlMEMBEREXCLUDED7 � Y , N!A i�OOO�OOQ (Mandatory in NH) E.L DISEASE EA EMPLOYE S It yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS bebw E.L. DISEA E• P LICY LIMIT DESCRIPTION OF OPERATIONS ! LOCATIONS ! YEHICLES (ACORO 101, Additfonsl Remarks Scheduls, may be attached it moro apece Is requfrad) City of Fort Collins 281 N College Ave. Fort Collins, CO 80524 SNOU40 ANY OF THE ABOVE DESCRIBED POLICIES BE GANCEILED BEFaRE THE EXPIRATION DATE THEREOF, NO�ICE WILL BE DELIVERED IN ACCOROANCE WITH THE POLICY PROYISIONS. AUTHORIZED REVRESENTATIVE �-��f� ��_ - ACORD 25 (2016103) �O 1968-2015 ACORb CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �R�� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIpDIVYYY} 112512024 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, EXTEMD OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 7HIS CERiIFICATE OF INSURANCE DOES NOT CONSTI7U7E A CONTRACT BETWEEN THE ISSUING INSURER(S�, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE GERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL fNSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION JS WAIVED, subject to the temts a�d conditions oi the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsementls). PRODUCER IMA, Inc - Pittsburgh 316 First Avenue 3rd Floor Kittanning PA 16201 INSURED Transit Solutions, LLC 525 W New Castle St, Swte 1 Zelienopls PA 16063 COVERAGES Julie Hays K��: 724-548-5178 Julie.HaysC�Dima TRAMSOL-01 CERTIFICATE NUMBER: 1419054487 AFFORDfNG COVERAGE REVISION NUMBER: NAIC # 15792 � THIS IS TO CERTIFY TFiAT TNE POUCIES OF INSURANCE LlSTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING ANY REOUfREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALt TFiE TERMS F�CCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A I U � POUCY EFF POUCY EXP L7R TYPE OF ItJSURANCE j POLICY NUMBER MMIDD/YYYY MMlDOlYYY LIMITS e X COMMERCWLGENERALLIABILITY Y Y S 2562229 113012024 1l30I2025 EACHOCCVRRENCE S 1,OOQ,000 CLAIMS•MADE X OCCUR PREMlSES Ee oNccurrence S 1,000,000 ,— �• MED EXP (Any one person) S 15,000 PERSONAL 8 ADV iNJURY 5 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGA7E S 3,000,000 X POLICY jE a LOC PRODUCTS - COMPlOP AGG S 3,000,000 OTHER S e AUTOMOBILELIABILIrr Y S 2562229 113012024 1130/2025 COMBINEDSINGIELIMIT y�,000,000 Ea aaidenl ANY AUTO BODILY INJURY (Per person) 5 OWNEO X SCHE6ULE0 BpDILY INJURY (Par acadant) S AUTOS ONLY AUTOS x HIR�D X NON•OWNED PROPER7YDAMAGE s AUTOS ONLY AUTOS ONIY Per acadenl 5 B X UMBREL�a LIAB X p�CUR S 2562229 113012024 1130J2025 EACH OCCURRENCE S S 000 000 EXCESS LIAB CLAIMS-MADE AGGREGA7E 3 S 000 000 DED X RETENTIOMS S C WORKERSCOMPENSATION Y WVbC3687935 113012024 1l30l2025 X PER OTH- ANDEMPLOYERS'LIABILITY Y!N STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE N E L EACH ACCIDENT 5 1 000,000 OFFICERfMEMBEREXCLUDEO? N�A (MandNory In NH) £ L DISEASE - EA EMPLOYEE S 1 000,000 II yes. tlesuibe untler DESCRIPTIpN pF OPERATIONS �elow E L DISEASE - POLICY LIMIT S 1,000,000 A Errars & Omissions ESM0139867156 1130J2024 7130l2025 Each Occurrence $2,000,000 Aggragate $2,000,000 DESCRIPTION OF OPEHATIONS 1 LOCA710N51 VEHICLES iACORD f 07, Additional Remarks Schadule, may be attached if more space is required) CertifiCate Holder and all other pa�lies required by the contract are inciuded as Additional Insured on the General Liability and Automobile Liability Policies. if required by written contract or agreement, subject to the policy ierms and condilions. A Waiver of Subrogation is provided in favor of ihe Certificate Holder and all other parties required by the contract on ihe General Liability and Workers Compensation Policies, ii required by wririen contract or agreement, subject to the policy terms and conditions. lJmbrella Liabiliry policy is in excess of ihe General Liability and Automobile Liability Policies, subject to the policy tenns and conditions. City of Fort Collins 215 Norih Mason St. PO Box 580 Fort Collins C� 80524 ACORD 25 (2016103� SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATlVE ��.��- O 1988-2015 ACORD CORPORATION. All righis reserved. The ACORD name and logo are registered marks of ACORD A�� CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDDMlri) O 0111812024 THIS CERTIFICATE IS ISSU�D AS A MA77ER OF INfaRMATION ONLY AND CONFEAS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DpES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE dF INSURANCE DpES NO7 CdNSTITUTE A CONTRACT BETWEEN THE ISBUING 1NSURER{S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFkCATE HOi.DER. IMPORTANi: If the certlficate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIQNAL 1NSUREQ provistons or bs endorsed. If � SUBROGATION IS WAIVEO, subject to the terms and conditions o! the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certiHcate holder in Ileu of such endorsement(s). �� PRODUCER NOMN��ACT d a AOr1 Risk Insurance Services West, Inc. f393� 758-7688 �� (303) 758-9456 d D811veP CO OifiCe (NC. No. EKq NC. No. : .a 200 clayton Street, Suite 800 E-MAfL Q Denver CO 80206 USA aDDRESS: _ r;�;.`� � INSUHED POwUr p6C 2583 via de la valle Suite 321c Del Mar Ca� 92014 USA � INSURER(S) AFFORDING COV£RAGE NAIC # INSURERA: TF1e C011tlll@f1td� Insurance Company 35289 iNsuRERa: Colony insurance Company 39993 INSUREfi C: INSURER 0: INSURER E: INSUREH F REVISION NUMBER: THIS fS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD � INDICATED. NOTWITHSiANDING ANY REQUIREMENT, TERM OR CONpITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS *" CEFITIFICATE MAY BE ISSUEO OR MAY PERTRIN, THE �NSURANCE AFFORDED BY THE POIICIES DESCRI6ED HEREIN IS SUBJECT Tp ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. �IM�TS SHOWN MAY HAVE BEEN REDUCEd BY PAID CLAIMS. Limits shown are as r uested LTR TYPE OF �NSURANCE I�p yJyD POLtCY NUMBEfl MM/DD�YYYY MhVDD.'YYVY LIMI7S X COMMERCIALGENERALLIASILITY PA��S EACNOCCURRENCE S1,OOO,OOO CLAIMS•MADE a�;CI.R PREMISES Ea ottunenCe 41Q0 , 000 MED EXP (My one person) S 10 , 000 PERSOMAL 8 ADV INJURY $1, OQO , O00 � GEN'LAGGREGATELIMRAPPLI£SPER� GENEFALAGGREGATE S3,OOO,OOO � X POLICY ❑ PR� ❑ LO(; PROOUCTS•COMP/OPAGG S3,OQ0,000 � JEC7 OTHER oeducobie S SQ , 000 n AIIrOMOBItE 1IA81LffY COMBINED SINGLE LIMIT � E i n ANY AUTO BOOILY INJU RY � Per person � � Z OWNED SCHEDULE� BODILY INJURY (Per accidem) a> AUTOS HIREOAU�TOS NON•pWNED PROPERTYDAMAGE V ONLY AUTOS ONLY Per accident — .� � UMBRELLALIAB OCCUR EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION A WORKERS COMPENSA710N AND S 1 1 x PER STATUTE O7H� EMPLOYERS' 11A81LITY y � N A� � Other Stdt@5 � ANYAROPRIL-TORlPARTNER/[XECUTIVG E.L.EACHACCfDENT SZ,OOO,OOO A' OFFICEWMEMBERE%CLUDED? � N!A 703653zia7 Q1�Q1�Z024 01�01/2�Z5 (Me�dalory In NFq �p, E.L. DISEASE-EA EMPLOY�E S 1, OOO , O00 If yes, dosc�bo urWer OESCFlIPTION OF OPEAATIONS bolow E.L. DISEASE•POLICY LIMfT $1, 000, 000 --- e E8A - Professional Liability vaCES4281806 O1/20/2024 O1/O1/2Q25 Aggregate Limit 3,000,0 0 - primary Claims-Made Each Occurrence �im 51,000,000 � DESCRIPTION OF OPERATIONS / IOCATIONS I VEHICLES (ACORD 101, Addl[lonsl Remerks Scheduie, mey he etteched if more 9paCe Is required) � � � � CERTIFICATE HOLDER CANCELLATION � SHOULD ANY OF TH£ ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPINATION OATE THEREpF, NOTICE LViLL BE DELIVERED IN ACCORUANCE WITH THE POLICY PROVISIONS. �L Ci ty Of FOf't CO11 i n5 AUTMORIT60 REPRESENTATIYE � Development Review Center ' 281 N. College Ave. �� G�� ,��„ �� Fort Collins CO 80524 uSA �� m1988-2015 ACORD CORPORATION. All righis reserved. ACORD 25 (2816103) The ACORD name and logo are registered marks of ACORD AC�RO� � AGENCY CUSTOMER IQ: 570000087114 LOC At: ADDITI4NAL REMARKS SCHEDULE Page _ of AGENCY NAMEDINSURED Aon Risk Insurance Services west, inc. Powur PBC POLICY NUMBER see certificate Number: 570103648580 CARRIEA NAIC CODE See Certificate Number: 570103648580 EFFECTIVEDATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FQRM, FQRM NUMBER: ACORD 25 FORM TITLE: Certificate oi Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER 1NSURER INSURER 1NSUKER ADDITIONAL POLICIES If a policy beluw does not include limit information, r�fer to the corresponding policy on the ACURD certifcate form for policy limits. vo�icv ro�.rcv INSR ApDL SUBR POI.fCYNU1�IB�:R Llb1175 LTR T1'PEOFINSUNANCE ��Sp ��,yp EFFF.CTiVE EXNIRAYION nATB DATE (AIAIIDDl1'Y\'1'1 (Al!1VDD/YYYl') OTHER B contractors Pollution PACEs4281806 O1/20/2024 Ol/OZ/2025 Aggregate 53,0�0,000 Liability Limit EdCh 51,000,000 Occurrence ACORD 101 (2008101) �2008 ACORR CORPORATION. Afl rights reeerved. The ACORU name end iogo ere registered ma►ks oi ACORQ �c �� CERTIFICATE OF LIABILITY INSURANCE onre IMM�oommy THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGH7S UPON THE CERTIFICATE HOLDER. THIS CERTIFlCATE DOES NOT AFFIRMATIYELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS7lTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AIJTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: I! the certificate holder is an ADaITtONAL INSUREp, the pollcy(les� must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to lhe terms and conditiona ot the policy, certaln policiea may require an endorsement A statement on this certificate does noi confer ri ht8 to the certlflcate holde� in Ifeu of such endorsemen s. aaoouceR NqME CT Joe B ant Risk Strategt@S PNONE 214 323-4602 ac No : 214 503-889 12801 North Central Expy. Suite 1725 E•MAIL Dallas, TX 75243 RSCcertre uest risk-strate ies.com W SURED Fiuitt-Zollars, Inc. 5430 LBJ Freeway Suite 1500 Dailas TX 75240 COVERAGES CERiIFICATE NUMSER: 78275975 REViSIpN NUMBER: THIS IS TO CERTlFY THAT THE PO�ICIES OF INSURANCE LISTEQ BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RE�UIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT W1TH ftESPECT TO WHICH THIS CERTIFIGATE MAY BE ISSUEO OR MAY PERTAIN, TNE INSURANCE AFFORDE� BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SH01NN MAY HAVE BEEN REDUCED BY PAIp CIAIMS. INSR 7ypE pF iNSURANCE A�� POUCY EFF POUCY EXP LTR POLtCYNUMBER MM D MM IJMITS COMMERCIALGENERALL}ABIUTY EACHOCCURRENCE 5 A�ET6�fFEN CLAIMS-MApE OCCUR PREMI E Ea octurrente E MED EXP (Any one person) S PERSONAL 6 ADV INJURY E GEMLAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE E POLICY � j� a � LOC PRODUCTS - COMP�OP AGG S OTHER: E AUTOMQBILELIABIl1TY COMBItJEDSktJGLE LIMIT E Ee acueent ANY AUTO BODILY INJURY (Per person) S ONT7ED SCHEDUIED 80DILY INJVRY (Per actidenl) E AUTOS ONLY AUTOS H RED NON-OWNED PROPERTY OAMAGE a AUTOS OT7LY AU70S ONLY Per acadenl a Uh18RELIA UAB OCCUR EACM OCCURRENCE S FJ(CESS LIAB C�,qIMS-MADE AGGREGATE S DED RETENTION 5 E WORKERSCOMAENSATION PER OTH- ANDEMPLOYERS'LIABILITY TAT T ER ANYPqOPRIETOR/PARTNER/EXECUT VE Y! N OFPtCER�AEM6EREXCLUDED'/ � N�A E.L.EACHACCIDENT E (ManAatory Vn NH) E.L. pISEASE - EA EMP�OYEE S II yes. tlestnbe uMer DESCRIPTIOM OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT 3 A Pro(essional Liability � EBZ665006/0il2024 1/23/2024 1/23/2025 Per Claim $1,000,000 Pollution Liabiliry Annual Aggregate $1,000,000 DESCRIPTION OF OAERATIONS! LOCATIONS ! VEHICLES {ACORD 701, Additional Rsmarks ScMduls, may ba att�ched if moro sp�ce I� rcqulnd) The claims made protessional iiability caverage is ihe total aggregate limit for all claims presented within the annual policy period and is subjed to a dedud�ble. Thirty (30} day notice of canceflation in favor of the cert�ficate holder on alf policies. RE: Project No: R304965.01 — North College Pedesirian Gap Project CERTiFICATE HOLQER ceNr_Fi i nrin�u Ci of Fort Collins 28� North College Avenue Fort Collins CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE EXPIRATION DATE THEREOf, (10TICE WILL BE DELIVERED IN ACCORDANCE WI7H THE POLICY PROVISIQNS. AUTHORIZED REi'RESENTATIVE � G�� Joe Bryant ACORD 25 (2016103� OO 1888-2015 ACORD CORPORATION. Atl rights reserved. The ACORD name and logo a�e registared marks of ACORD ��-� .- I-4.: PL Mast=r (S1M/52M Cefau!tf I tiya tectuqa 1!/151'.024 8:29:5� AH .:Fi� Pa�c 1 c_ . �-1 ACORO� �� PEAKAUD-01 CERTIFICATE OF LIABILITY INSURANCE OATE �MM/DONYYY{ 1124l2024 THIS CERTIFICATE IS lSSUED AS A MATTER OF INFORMATiON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO7 AFFIRMATIVELY QR NEGATIVELY AMEND, EXTEND OR ALTER TH� COVERAGE AFFORDED BY 7HE POLICIES BELOW. THIS CERTIFICATE OF INSURANGE DOES NOT CONS71TU7E A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHQRlZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE H�LDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL tNSURED 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 oE such endorsemenk(s). PRODUCER CONTACT Ryan Condel' NAME: Carver and Associates Insurance Services, ��]C. PHONE FAJ( 7710 Ralston Road �ac, r+o, sx:�: {303) 996-5371 ��, No�:(303) 431-7629 Arvada, CO 80002 n oR�Ess: rconder@carverandassociates.com INSURED Peak Audio Visual, LLC dba CCS Presentation Systems 700 West Mississippi Ave, Unit A6 Denver, CO 80223 INSURER{S) AFfORDING COVERAGE iNsuaeRn:EMC Property � Casualty lns Co �r,suRER e : Pinnacol Assurance INSURER C : INSURER D : INSURER E : NAIC # _ 25186 _ 41190 COVERAGES CERTIFICATE NUMBER: REVISiON NUMSER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TFiE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RE�UIREMENT. 7ERM OR CONDITION OF ANY CONTRAC'C OR 07HER �OCUMEN7 WITH RESPECT TO VN-IICH TMIS CERTIFICATE MAY BE ISSUED OR MAY PER7AlN, THE iNSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT Tp ALL THE TERMS, EXCtUSIONS AND CONDiTIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSFiI TYPE OF INSURANCE aDOL�SUBR pOUCY NUMBER ��P�LICY EFF I POUCY EXP LIMITS A X COMMERCIAL GENERAl. LIRBILITY I EACH OCCURRENCE S �,OOO,OOO � CLAIMS•MADE X OCCUR �( �( �6X52629 2l18I2024 111l2U25 pREMI$ES�{EaEoNcwRence) S 500�000 MED EXP (My one persanJ $ ��,aQ� PERSONAL 8 ADV INJURY g �,OOO,OOO GEN'L AGGREGATE lIM1T APPLIES PER GENERAL AGGREGATE a 2,000,000 POUCY X P��T LOC PRODUCTS - COMPlO? AGG S 2rOOO,OOO OTHER y A AUTOMOBILE ilAB1LITY COMBINED SINGLE LIMIT 'I,OOO,UOO (Ea accidenl) 3 X ANYAUTO x X sX52629 2ii8I2�24 1I1/2fl2$ BODILYINJURY(Perpersnn� S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INIURY ;Per acadenl) b AU70S ONLY AU OS ON�Y (Pe�aa dentj ��E 5 E A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE g 3�000,000 EXCESS LlAB CLAIMS-AhADE X X 6X52629 2!'18/2024 1I112025 pGGREGATE a 3,��,�� DED X RETENTION 5 � O�UOO S B WORKERS COMPENSATIOt7 X PER OTH• AND EMPLOYERS' LIABILITY Y � N STATUTE ER ANY PROPRIEFORlPARTNERfEXECUTIVE 4ZZ9�O6 111/2024 11112025 i3OOO,OOO OFFICERfME MBER EXCLUDED? N N! A E l EACH ACCIptNT $ (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ � r�� ir es, desu�ee �.naer 1,000,000 D�SCRIPTION OF OPERATIONS bafv.v E L OISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS! LOCATIQNS f VEHICLES (ACORD 701, Additlonal Remarks Schedule, may be attach6d if more space is required} All Projects of the insured - City of Fort Colllns is addltional insured if required by written contract. TION SHOULO ANY OF 7HE ABOVE DESCRIBED PpLICIES BE CANCEttED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WlLL BE �ELIVERED IN ACCORDANCE WITW THE POLICY PROVISIONS. City of Fort Collins Purchasing and Risk Management P. Q. Box 580 AUTHORIZED REPRESENTATIVE .�c'�'� -- - ACORD 25 (2016103) O 1988-2015 ACQRD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ' �� ACORO' �� TMAHOLD-09 CERTIFICATE OF LIABILITY INSURANCE DATE {MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MAT7�R OF INFORMA710N ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICATE HOLDER. THIS CERTIFICA7E bOES NOT AFFII2MATIV�LY OR N�GATIVELY AMENb, EXTEND QR ALTER THE COVERAGE AFFORDED BY THE POLICIES B�LOW. 7HIS CERTIFICATE OF INSURANCE DOES NOT CONSTfTUTE A CONTRAC7 BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESEN7ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder Is an ADDITIQNAL INSURED, the poltcy(ies} must have ADDITIONAL INSURED provisions or be endorsed. If SU8f20GATION IS WAIVEo, subject to the terms and conditlons of the policy, certain pollcies may requ(re an endorsement. A statement on this certiftcate does not confer riahts ta the certiflcate holder in lieu of such endorsement(sl. PRODUCER ""o��ao.r �vv�v�va� Hub Inter�ational MEd-America 6100 S. Yale Avenue Suite 1900 Tulsa, OK T4136 INSURSD TMA Holdings LLC 1876 Utfca Square Third Floor Tulsa, OK 74114 m B) 551-7900 I ��u"c,wo�: ne.watsonCrDhubinternational.com COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEQ ABOVE FOR THE POLlCY PERIOb INOICA7ED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION QF ANY CONTRACT OR �THER DOCUMENT 1MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOftDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIAIIITS SHOWN AAAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR TypE OF INSURANCE ADDL SUBR ppLICY NUMBER PaLICY EFF PQLICY EJfP LIMITS A X COMMERCIAL GENERAL LIABII�ITY EACH OCCURRENCE S ��OOO,OOfl CLAIMS-MApE U OCCUR BBO74B%H%S9 9l2212023 SIYYIYOZ4 DAMAGE TO RENTED 'I �OOO�OOO MED EXP (An�ate rson � �,�� PERSONAL & AOV INJURY � �OOQ,OOO GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE Z,OOd,OOO POLICY � j��T � LOC PRODUCTS -COMP/OP AGG Z,OOd,OOd OTHER EPL a 'IO,OUd A AUTOMOBILE LIABIUTY C e accideMSINGLE LIMIT a 'I �OOO�OOO ANY AUTO B8074678759 9122l2023 912212024 BODILY INJURY Per erson S �WNED SCHEDULED T AUTOS ONLY AUTOS BORDILY INJURY Per aaitlenl S X AUTOS ONLY X AUTO� OM�Y P?ef Pa pOBTMflI AMAGE s S B X UMBRELLA LIAB OCCUR EACH OCCURRENCE S ��OOO�OOO ExCESS uAB CI.AlMS•MADE B6O74S7H762 912212D23 9I22J2O24 AGGREGATE E DED X RETENTIONS �Q�� Aggregate S rJ�Oa��O� C WORKERS COMPENSA710N x PER OTH- AND EMPLOYERS' LIABILITY C711555651 9J2212023 9i22iZOZ4 ��fl��0 ANY PROPRiETORlPARTNERIEXECU7IVE Y� E.L. EACH ACCIDEN7 QFFICERMIE M8E R EXCLUDED? N�A (klandatoryfnNH) E.L.DISEASE-EAEMPLOYE �,��,�a� �r ya5.de5�� -- �,000,000 DESCRIPTfON OF OPERATlONS bebw E.L. DISEASE - POLiCY LIMIT D Professional Liabili VG00004285AD 1?J2212023 1212ZI2024 AggregatelEach CEaim 4,OUO,U00 DESCRIPTtON OF OPERATIONS ! LOCATIONS! VEHICLES (ACORD 707, AQtlltionat RemaAcs Schetlule, may 6e attached if more spe ce Is requlretl} To the extent required by written agreement, signed 6y the insured, the Blanket Additional Insured endorsement applies to the Certificate Holder in reference to the General LiabiNty, Auto Liability and Excess Liability as their interests may appear. Ctry of CollEns 300 LaPorte Avenue Fort Colll►ts, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATfON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C�lv��..�� ACORD 25 (201fi103) O 1988-2015 ACORD CORPORATION. All rights reserved. 7he ACORD name and logo are registered marks of ACORD � ACOR�" �� AGENCY CUS70ME}2 ID: TMAHQLO-01 LOC #: 1 ADDITIONAL REMARKS SCHEDULE CRAMEY Page 1 of 1 AGENCY License # 400101891 NAME� INSURED ub International Mid-America TMA Holdings LLC 1876 Utica Square POLICYNUMBER Third Floor EE PAGE 1 7ulsa, OK 74114 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTVE DATE: PAG The ACORD name and logo are registered marks of ACORD ACORD 101 (2008/09 ) O 2008 ACORD CORPORATION. All rights reserved. .4co DR � CERTIFICATE OF LIABILITY INSURANCE DA7E(MMlDD1YYYYj �� ,n,r2o2a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CfRTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORQED BY THE P4tIGIES BELOW. 7HIS CER7IFICATE OF lNSURANCE DOES NQT CONSTlTUTE A CONTRACi 6ETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HQLDER. IMPORTAIVT: If the cerliticete holder Is an ADDITIONAL INSURED, the policy(fes) muat have ADDlTIQNAL INSURED pro�isions or be endorsed. If SUBfipGATION IS WAIVED, subject to the terma and conditions of the policy, certain policies may require an endorsement. A atatement on this certificate does not cortter ri hts to the certificate holder in lieu ot such endorsement(s). PRODUCER NTACT NAME;. LOfI ROSB _ _ _ _ Arthur J. Gallagher Risk Management Serv�ces, LLG pHor,e �- - ' " --� "- �" - " ( Fax — 12750 Merit Drive Suite 1000 ��n9 _�xu• _ __— ia�.±+�i:_ — Dallas TX 75251 AooR�Ess: Lori Rose�ajg com INSURED irench Right SPV LLC DBA Trench Right Colorado a500 E 60th Ave Commerce City, CO 80Q22 COVERAGES CERTIFICATE NUMBER:2Q12686905 wsuReaa: Nationwide Mutual Insurance Comr�any — -- _ ___— — - iNsuaeA e: AMCO Ensurance Com an nusuREac: Oe ositors Insurance Company msuAeR �: MarkeY American Insurance Company _ tNSURER E : REVISI�N NUMBER: Naic � 237$7 THIS IS TO CERTIFY THAi 7HE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE POR THE POLICY P'r R OD fNDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOITIOIY OF ANY CONTRACT OR OTHER DOCUMEN' WiTH RESPECT 70 WH CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TFiE POLICIES DESCR BEO HEREIN iS SUBJECT TO AL_ THE T�RMS, EXCLUSIONS AND CONpITIONS OF SUCH POLICIES. LIMITS SHOWfV MAY HAVE BEEN fiEDVCEP 6Y PAIp CLAIMS INSR TYPE QF WSURANCE ADISL �UBR pOLICY NUMBER MM/DO/YYYY MM/bDlYYYY LIMITS LTR A X COMMERCIALGENERAL LIABiLITY Y ACP GLO 3110341248 4f112023 411l2024 EACH pCCUHRENCE S 1,000,000 CLA�MS-MADE i X I OCCUR PREMISE� eocturrenGe S 1,000,000 T MED ExP (An ona person) � 10,000 � PERSONAL 8 AOV INJURY 5 1,000,000 GEN'L AGGREGATE UMIT APPLiES PER GENERAI AGGAEGATE S Z,000.000 POLiCv I x� JEC�T X LOC PHO�UCTS � COM?!OP AGG 5 2.000,000 OTHER. S C AUTOMOBILE LIABILITY ACP BAPD 3110341248 411/2023 47112024 OM81NEb INGLE UMIT g �,000,000 Ea acciAenq X ANY AUTO BOOILY INJURY (Par pgrson) $ OWNED 5CHE�ULED BODLLY iNJURY (Per accident) S AUTOS ONLY AUTOS x HIRED x NON-OWNED PROPERTY DAMAGE g AUTOS ONLY AUTOS ONLY Per acddent S B X UMBRELLA LIAB X p��q ACP CAA 3110341248 4l112Q23 4l�I2024 EACH OCCURRENCE $ 5,000,000 EXCESS LIAS CLAIMS-MADE AGGREGATE S S,OOO,OQO DEO RETEN7�ON S g WORKERSCOMPENSATION ACP WCA 3110341248 4!1l2023 411l2024 X H- ANO EMPLOVERS' LIABILI7Y Y � N S7ATUTE ER ANYPROPHIFTOWPAHTM[FUEXECViIVG a E.L EACH ACCIDEN7 $ 1,000,000 OFFICEWMEMBEREXCLUDED? N/A (Mandalory in NH) E.L. DISEASE - EA EMPLOYEE 5 1.00Q.00Q II yeS, desCnbe under � DESCRIPTION Of OPEFiATIONS b910w E.L. DiSEASE - POLICY LIMI7 S 1.000,000 A Inland Marine ACP CIM 3110345248 4/112023 4l112024 leasedlRentetl Eqwp $100,000 � MKLM4EUE1011A7 4!1l2023 4l112024 InslaflationFloatar $100,000 8xcess Liability (SMz5M) Limit (Ea Occ1AC,G� $5,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS J VENICLES (ACORO 101, Additional Remerks Schedule, mey be elteched if more epeee is requiredj City ot Fl Collins is included as Additiona! Insured as respects General Liability policy, pursuant to and subject to the poticy's lerms, definilions, conditions and exclusions. CERTIFICATE HOLDER City of Ft Coklins 281 N College Ave Fort Collins CO 80524 USA ACORD 25 (2Q16/03) CANCELLATIQN Sf10ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DA7E THEREOF, NOTICE WILL BE DELIVERED IN ACCORUANCE WITH THE POLICY PROVISIQNS. AU7HORIZED REPRESENTATIVE Wl,�j, v �, �I'�"",' � 1988-2015 ACORb CORPORATION. All rights reserved. The ACORD name and logo are registered marks of AGORD