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Home My WebLink AboutXYLEM WATER SOLUTIONS USA, INC - INSURANCE CERTIFICATEAco � CERTIFICATE QF LIABiLITY fNSURANCE DATE(MM/DD/YYYY) �� aaazo23 THIS CERTIFICA7E IS ISSUED AS A MATTER OF INFORMATION QNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICfES BEL.OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IM�vHTANT: If the certificate holde� is an ADDITIpNAL INSURED, the policy(ies) must have ADDITIONAL INSUREO 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 ceHificate holcler in lieu of such endorsement(s}. PRODUCER NAMEACT Lauren C_;iangrande MARSH USA, LLC. PHONE z�z 34��6()00 Fnx 1166 Avenue o( ihe Americas iALC. No, Ext): � � �(NC, No): New Yak, NY 10636 E-MAIL L� ( d�� sh CN1Q8453421-STND GAW 23-24 INSURED Xylem Wale� Sofulions USA, Inc Leopold Praducts 227 South Divis;on Slreel Zefiermple, PA 16063 _ { a occuRence, MED EXP (Any one person) PERSONAL 8 ADV INJURY GENERALAGGNEGA7E PRODUCTS - COMPlOP AGG SIR: E1.000.000 COVERAGES CERTIFICATE NUMBER: NYC Ot0�28'167 29 REVISION NUMBER: 10 THIS iS TO CERTIFY THAT 7HE AOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICFi THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE 1NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONOITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADDL''SUBR POLICY EFF POLICY EXP LTR TYPE OF tNSURANCE POLfCY NUMBER MM/OD/YYYY MMIDDlYVYY LIMITS g X COMMERCIALGENERALLIABIUTY GL9941262 1013112023 1'.";3U2024 �qCHOCCURRENCE $ �.�.� CLAIMS•MADE X OCCUR OAMAU`E-TO FIEtJTEO � �� PRFMISES E n�oAess: auren �angran e�_ mar .com INSURER�) AFFOADING COVERAGE u+suRea n: AIU Insurance Co. iwsuRep e: Nalional Unu�� Fire ns. Co _ INSURERC: lNSURER O : tNSURER E : GEN'L AGGREGATE LIMIT APPLIES PER: � POLICY PRO- L� JECT � AUTOMOBtIE LIABILITY '4 X ANY AUTO OWfJ£D � AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON•OWNEO AUTOS ONLY 7620279 (MA} UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS DED I RETENTION a A WORKERSCOMPENSATION 049154515{AO`. ANO EMALOYERS' tfAB�LITY A ANYPROPRIETORlPAR7NERlEXECUTIVE YrN �49154514{�/I) OFFICERlbtEM6EREXCLUDEO? � N1A A (Mandatory in NH) 049154513 {CA) II yes, descnbe under oESCAIPTION OF OPERATIONS below 1 W37l10Z3 1 Q'31I2024 1D/31l2023 101311202A ior3�noz3 10131I2024 10l3112023 10131J1024 10,000 i 000,000 2.000.000 2.000.000 3,000.0(l(f z,00a,000 z.000.000 2.000.000 BODILY IMJURY �Per peison} BODILY IMJURY (Peraccidan EACHOCCUF AGGRFGATE 19399 19445 a 3 3 3 5 $ $ $ $ 5 E.L. EACH ACCIOENT $ E.L. oISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIM1T S D£SCAIPTION OF OAERATIONS! LOCATIONS! VEHICLES (ACORD 101, Addkional RemarNs St�edule, may be attached if mo�e space is required) City ol Fort Collins is included as addilional insured {except Worke�s Compensation} as required by wrillen conuaci CERTIFICATE HOLDER City of Fort Collins PO Box 580 Fart Collins, CO 80522 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTlCE WILL BE DELIVERED !N ACCORDANCE WITN THE POLICY PROVISIONS. AUTHORIZED REPRESEN7ATIVE �a.� � �1� �L�� OO 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2076/03) 7he ACORD name and logo are registered marks of ACORD � � DATE (MM/DDNYYY) oRo CERTIFICATE OF LIABiLITY INSURANCE 10l30l2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIQN ONLY AND CQNFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY pR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFiCATE QF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING tNSURER(S}, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTlFICATE HOLDER. IMPOR7AtVT: If the certiticate 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 staSement on this certificate does not confer rights to the certiiicate holder in lieu of such endorsement(s). PRODUCER CONTACT MafSh USA LLC riAME: 1717 Arch Streel (NC, No. Extl: ;{ac, NoJ: Phlladelphia, PA }gtp3-2797 E-MAIL ADDRESS: CN 108702499--GAWUP-23-24 INSURED Luminator Technology Group, Inc 900 Klein Rd. Plarw, TX 75074 CERTIFICATE NUMBER INSURER(S} AFFORDING COYERAGE iNsuRER a: CNA Insurance Companies tNSURea s: Assoaaled Indusiries Insuranee Com an , Inc tNSURER C : �NsuReR �: Travelers Prop� Casualty Co. Of America INSURER E : INSURER F : CLE�O(16943277-07 REVISlON NUMBER: 0 NAIC • COVERAGES 23140 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEfl BELOW HAVE BEEN ISSUEd Tp 7HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY GONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OA MAY PERTAIN, THE INSUAANCE AFFOROED BY THE POLICIES DESCRIBEp HEREIN IS SUB.IECT TO ALL THE TERMS, EXCLUSIONS AND CbNDITIONS OF SUCH POLICIES. LIMITS SHdWN MAY HAVE BEEN REDUCED SY PAIO CLAIMS. INTR TypE OF iNSURANCE ADDL SUBR ppLICY NUMBER MM/DONYYF MMJ UNYYY LIMITS A X COMMERCIAIGENERALLIABILITY 7063375533 1012912013 10129/7024 EACHOCCURRENCE $ ��•� CLAIMS-MADE X OCCUR DAMA��Ti1 RENTED �� P,REMISES {Ea occunence) � MED EXP (Any one person� $ 10,000 PERSONAL & ADV INJURY $ �� GEN'L AGGAEGA7E LIMIT APPLIES PER GEfJERAL AGGREGATE $ Z�� POLICY PR� LOC PRODUCTS - COMPlpP AGG 5 z.�,� X JECT OTHER: $ A AUTOMOBILEUABILITY 7063315516 10/2912023 jQJZ9J2Q24 COM6INEDSIMGLELIMIT $ �� (Ea accideM�� x ANY AUTO BODILY INJUFlY (Par per5on� $ OWNED SCH[DULED BODILY INJURY (Per accident) 3 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accidonl) $ x UMBRELLA LIAB oCCUR 7063375547 10/29/2023 1012912U24 15,000,000 EACH pCCURRENCE 3 EXCESS LIAB CLAIMS-MADE AGGR[GATE I$ 15,000,(100 DEQ RETENTION $ $ A WORKERSCOMPENSATION 7063375550 10 29 2023 101zJIz�zA X PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE Y,N E.L. EACH ACCIDENT S �•�� OFFICEWMEMBEREXCLUDED? � N�A (Mandetory in NHT E.L. DISEAS� • EA EMPLOYEE � ��-� II yes. describe under 1.�.� UESCRIPTIQN OF OPERATIONS below E.L DI$EASE - POUCY LIMIT 5 E3 Prolessional Liability ACL1233776{)0 10/29I2023 10/29/2024 Limit 5,000.000 Txh E&0 inclusive of Cyber 5,000,000 DESCRIPTION OF OPERATIONS / LOCA710NS! VENICLES (ACORD 101, Additional Remarks Schetlule, may be anached i1 more spaca is requfreG) 'As ol March 2, 2020 Apollo Video Technology will Oe n�erged in�o L uminalor Technology Group. Inc.' City of Fort Collins' Pu�chasing Division is included as addilional insured (except workers' compensalan) where required by wriUen conuact. GEHTIFICATE NOLDER Giy of Fon Couins' Purchasing Division 27 5 North Mason St. 2nd Floa Fort Collins, CO 80524 ACORD 25 (2016/03) TION SHOULD ANY OF THE ABOVE DESCFiIBEU POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEO REPRESENTATIYE � �a.E �s� �.�� O 1988-2016 ACORD CORPORATION. All rights reserved. 7he ACORD name anc! logo a►e registered marks of ACORD � � DATE (MMlDDIYYYY) .4CORO EVIDENCE OF PROPERTY INSURANCE .�,�„�� THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMA710N ONLY ANQ CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. TH15 EVIDEHCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTER6ST. AGENCY PHONE COMPANY (91c, No, �t)��) 485-400Q Alliant Insurance Services i-Iouston, LLC Zurich Amencan Insurance Comp 5444 Westheimer RD 9th fl Houston, TX 77056 �n�c No}: (832) 485-4001 � E�€S�arctic.certs{�alliant.com CODE: i SUB CODE: AGENCY ARCTSLQ 01 �1JST4klEB IQ p: INSURED Hudspeth 8� Associates, Inc. 6790 S Dawson Circ�e Centennial CO 80112 LOANNUMBER �� POLICYNUMBER ERP 0187202-08 EFFEGTIVE 6ATE EICPIRATION DATE CONTINVED UN71L iO1Z$/ZOZ3 �O/Z9IiO24 I I 7ERMIkATEDIFCHECKED THIS REPLACES PRIOR EVIDEMCE OATED: PROPERTY INFORMATION LOCA710NJDESC RIPTION THE POLICIES OF IfVSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOp INQICATED. NOTINITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED pR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEp HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCFi POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUC�D BY PAID CtA1MS. COVERAGE INFORMATION PERILS INSURED BASIC BROAD X SPECIAI COVERAGEIPERILSlFORMS AMOUNTOFINSURANCE DEDUCTIBLE All risk of direct physical Ioss or damage, including Business Interruption $10,00�,000 $250,000 Earth Movament, per occunence and annual aggregate $10,000,000 $250,000 Flood, per occuRence and annual aggregate $10,Od0,000 $250,060 Miscellaneous Personal Property $10,000,000 $250,060 Tenant Improvement and Betterments Included $250,000 Business Income - Actual Loss Sustained basis with no time limitation $250,000 Miscellaneaus Unnamed Locations $10,000,000 $250,OOp Valuation: Replacement Cost Other Deductibles May Apply, Subject to Policy Tertns, Conditions, and Exctusions. REMAitKS {Including Special Conditions} The City of Fort Collins is included as a Loss Payee as respects to the Properly policy, subject to policy ierms, conditions, and exclusions. SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE Tl1EREOF, N�TICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND AppRE55 ADDITIONAL INSURE� � LENDER'S LOSS PAYABt f X LOSS PAYtE I MOR7GAGEE LOAN # City of Fart Collins 281 N College Ave. PO Box 580 Fort Collins, CO 80522 ACORD 2T (2016/03) AUTHORI2E0 REPRESENTATIVE �� — O 1993-2015 ACORD CORPORATION. Atl rights reserved. The ACORD name and logo are registered marks of ACORQ -�1 A�RO CCSGLOB-01 CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDOJYYYYy 10/31/2023 THIS CERTIFICATE IS 1SSUED AS A MATTER OF INFpRMATIpN pNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFlCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DpES NOT C4NSTITUTE A CONTRACT BETWEEN THE ISSUENG INSURER(S), AUTHORIZED REPRESENTATFVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: if the certiflcate holder is an ADDITIONAL INSURED, the policy(ies� must have ADDITIONAL INSURED provisions or be endorsed. !f SUBROGATION IS WAIVED, subject to the terms and conditions of the poliCy, certain poliCies may require an endorsement. A statement on this certiflcate does not confer riahts to the certificate holder in Ileu of such endorsemenilsl. PRDOUCER ""�"�"f """' •" • .ien��nei r�enyvn HUB Intemational Insurance Services Inc. � PNONE 9855 Scranton Road t,uc, r,o, Ex��_(858) 255-3258 Sutte i06 E-�"^�� . Cal.Cpu@hubinte San Oiego, CA 92121 INSURER S AF �NsuReR a: National Fire In: INSURED lNSURER B :Ti8115 OI'td�IOIT CaUfornia Creative Solutions, inc. d6a CCS Global Tech �r+suReRc:The Continental 13475 Danielson Street, Suite 230 tNSURER D: Poway, CA 92064 ,,,_„_ _ � m 231-2572 COVEf2AGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME� ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIR�MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DpGUMENT WITH RESPECT TO WHIGH THIS CERTIFICATE MAY BE iSSUED OR MAY PERTAIN, THE INSURAr7CE AFFORDED BY THE POLICIES DESCRI6ED HEREIN !S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIClES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA{D CLAIMS. IMSR TypE OF tNSURANCE AOOL•SUBR pp�CY NUMBER P�LICY EFF POLICY EXP � LIMITS A COMMERCIAL GENERAL 41ABIl.ITY EACH OCCURRENCE 5 �,OOO,OOO CIAIMS-MADE X oCCUR 7 011 521 841 iiiii2�23 111112024 DAMAGETORENTED � QQQ OQQ � X PRE�d1SE8.{Eass�uafl� S _ MEOEXP Anyate � 3 75'�� PERSOMAL & ADV iNJURY S �,OOO,OOO GEN'L AGGREGATE LIMIT APW IES PER GENERAL AGGREGATE 5 2�OOU,OOO X POLICY ❑ PR�� LOC PRODUCTS-COMPlOPAGG 5 Z�OOO,OOO JECT OTNER: B AUTOMOBILELIABILITY � 1dBINED5INGLEiIM1T S ��OO{��OO� ANYAUTQ )( 7011522178 11�1J2�23 1111l2024 gODILYINJURY Par erson 5 OWNEO SCHEOULED AU70S ONLv AUTOS BORDILY INJURY fPar accfdenl 5 X AUT 6S ONIY X AUTOS ONLY {Pe�ecEcande tDAMAGE 5 S UMBRELLA LIAB OCCUR EACH OCCURREMCE 5 EXCESS LfA6 CLAIhiS-MADE AGGREGATE ` 5 DED RETENTlONS C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YI N �� TATuT�. ER�. �� 7011522018 111112023 11/1/2024 1,006,000 ANY PROPRIETOR/P/�iNERIEXECUTNE E.L EACH ACCIDENT _._ _$ pFFtCERlMEMBEREkCLUDED? n N1A i OOO�OOO (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ ' If yes, destribe under � �,00�,000 D£SCRIPTIQN OF OPERATIONS below E.L. DIS[ASE - POLICY �IMIT DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES (ACORD 101, Addltlonal Remarka Schedule, may be attached if more epece Is requlred) City of Fart Coilins, The City, ils offlcers, agents and employees are Additional Insured with regard to the General Liability policy, when required by written contract, per the attached endorsement form ClJA74872XX (1-15). Addittonal Insured applies with regard to the Auto Llability policy, when required by written contract, per the aftached endorsement form CNA83700XX (10-2015). City of Fort Collins Purchasing Division PO Boz 580 Fort ColNns, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE� REPRESENTATIVE ��Kd�dL� ACORD 25 (20461fl3) O 1988-2015 ACORD CORPORATION. All rights reseroed. The ACORD name and logo are registered marks of ACORD �� A� 0 PHOEN-1 CERTIFICATE 4F LIABILITY INSURANCE DATE (MMlDDNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NQ RIGHTS UPON THE CERTIFICATE HOLDER. THIS CEi2TIFlCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXiEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING lNSURER(S), AUTHORIZED REPi2ESENTATIVE OR PRODUCER, ANb THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder is an ADb1710NAL INSURED, the policy(ies} must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the teRns and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer ri hts to the ceRi�cate holder in lisu of such erodorsement s. PRODUCER 815-385-7630 c Nrncr Stephanie Heinberg 1 eeth 8 Rudnicki Insurance PHONE g15-385-7630 F^x 815-399-6689 Agency, Inc. A+c, Na, er : ac, No : P.O. Box 151U •"" � . step anie rinsurance.net McHenry, !L 60050 Chad R. Beth INSURER S AFFOROIN C V RA E NAIC k iNsuReRa:SECURA Insurance Com an 22543 INSURED INSURERB:CBpItOI SF1@Clalhl IIISUfaflCe 10328 Phcenix Fire Systems, Inc. Navi ators S ecial Ins. Co. 36056 Basic Fire Protecdon, If1C. INSURER C: 9 P tY Fire Equipment Sales 8 Service Go. 74d Nebraska St. wsuReR a: Frankfort, IL 60423-1707 INSURER E: THIS IS TO CERTIFY THAT TNE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 7HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOITION OF ANY CON7RACT 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. IIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS INSR TypE OF IN3URANCE ADDL SUB pOLICY NUMBER POlICY EFF POLICY El(P UMITS A X GOMMERCIAL GENERAL LWBILITY Z�OOO�OOO EAf.H OCCURRENC� CLAIMS-hMDE � OCCUR X CP3169821 11101J2023 11101l2024 DAMACE TO REMTFD �,00�,�� A x Professional Liab CP3169824 1110112023 11l01l2024 MED EXP M or,e �sor� s 10,000 PERSONAL 8 ADV INJURY Z�OOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE Z,OOO,OOO POLICY � j��T � LOC PROf1UCTS - COMPfOP AGG ZrOOO�OOO Prof Liab 2,000,000 A AUTOMOBILE LIABlLI7Y COMBINED SINGL� LIMIT 'I,OOO,OOO X ANYAu7o A3169622 11101l2023 11/01/2024 BpDILY1NJURY Per son OWNED SCHEOULED AUTOS ONLY AUTOS BOOILY INJURY Per accidenl X AUTOS ONLY X AUTOS ONLY PReOP�EGR� OAMAGE P A X UMBREILA LIAB X OCCUR EACH OCCURRENCE S,OOO�OOO EXCESS LIAB CLAIMS�dADE CU3169824 11101l2023 1110112024 qGGREGATE S,Q��,�� DED X RETENTION $ '�' A WORKERS COMPENSATION X PER OTH- AND EMPLOVERS• uaaiuTr WC3169823 11101I2023 11101l2024 1,000,000 ANY PRpPRIETOR/PARTNERIEXECUTIVE a N � A E L EACH ACCIDHNT OFFICERlMEMBER EXCLUDED? �Mandatory In NH} � 1. DISEASE - EA EMPLOYEE �,OOO,OOO II 6S, d85CfIbB V[Ki9f I TI I I M �'a��,�� C Excess Liab CH23EXCZOFJHWIC 1110112023 11101I2024 OcclAgg 5,000,000 B Pollution Liab. EV20183807 1110112023 11101I2024 EachClaim 1,000,600 DESCRIPTION OF OPERATIONS! LOCATIONS f VEHICLES (ACORD 101, Add}donnl RemerNe Scheduls, may be attached It more spece is roquirod) City of Fort Collins is Additional Insured with respect to General Liability. City of Fort Collins 281 N College Ave, PO Box 580 Fort Collins, CO 80526 CITYFCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE W1LL BE DELIVERED IN ACCORDANCE WiTH THE POLICY PROVISIONS. AUTHORIZEU REPRESENTATIVE � � ,�� ACORD 25 (201glQ3) �O 1988-2015 ACORD CORPORATION. All rights reserved. The ACpRD name and logo are registered marks of ACORD ACOR�� CERTIFICATE OF LIABILITY INSURANCE 6ATEZMMlDDIYYYYy �� zi�i�2o2s 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 QR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 7HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THf CERTIFICATE HOLDER. IMPORYANT: 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 tt►is ce�tificate does not confer rights to the certificate holder in lieu of such endorsement{s). PRODUCER NAME: Charyl Massey 8errian Znsurance Group, Inc. aoN o .{303) 795-5831 AIC NO: t;o3�996-SBJ3 383 Inverness Qarkway AooR�ess:cmassey@big-ins.com Suite 475 INSURE S AFfORDIMG COVERAGE NAIC p Englewood CO 80112 INSURERA: ZL1r1Ch 016535 INSURED INSURER 8 : Mike ` 9 C�S116Yd � IRC INSURER C: 2500 Pearl Street ,u�„Q�Q„• INSURER E : BOU1dBr CO 80302 INSURER F: COVERAGES CERTIFICATE NUMBER:23/24 Liability REVISION NUMBER: THlS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEP A80VE FOR TWE POLICY PlRIOD INDICATEO. N0TIMTHSTANDING 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 SUBJEC7 Tp ALL 7FiE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHONM MAY FiAVE BEEN REDUCEO BY PAID CLAIMS. INSR rypE pF INSURANCE POUCY EFF POUCY El(P LIMITS LTR POLICYNUMBER MM/DDlYYYY MM/ODIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1, 000, 000 I A CLAIMS•MADE X� OCCUR PREMISES Ea occurtence 8 1, 000, 000 I X cpo-6947991-02 11/1/2023 11/1/202C MEO EXP (My one person) S 10, 000 PERSONALBADVIMJURY S 1,000�D00 GEN'IAGGREGATE LIMITAPPLIES PER, GENERALAGGREGA7E S 2, 000, 000 I X POLICY � PR� � LOC PRODUCTS-COMPlOAAGG S 2,000,000 JECT OTHER Empoyee 8enerts 5 1, 000 , 000 AUTOMOBILE LIAB1LIiY COMBINED SINGLE LIMIT g 1, 000, 000 Ea acciaent A AMYAUTO 80DILY INJURY (Per person) S ALL OWNEO SCHEDULEO Cp0-6947991-02 11/1/2023 11/1/202i 80DILY INJURY (Per accident) S AUTOS AUTOS NON-0WNED PROPERTY OAMAGE X HIREOAiJTOS X AU70S Peraccident a S X UMBRELLA LIAB X p�CUR fACH OCCURREfJCE S 10 Q00 000 A EXCESSLIAB CLAIMS•MADE AGGREGATE S 10,000,000 DED RET£NTION S AVC-3293167-03 11/1/2023 11/1/202C ; WORKERS COMPENSATION X STATUTE EORH AMD EMPLOYERS' UABILITY Y! N ANY PROPRIETORJPARTNERIEXECUTIVE ❑ M�A E L EACH ACCIpENT 5 1, 000 , 000 OFFICERlMEMBER EXClU0EO7 A (Mandatory In NH} r7C-6957160-02 11/1/2023 11/1/202< E L DISEASE - EA EMPLOYEE S 1, 000 , 000 If yes, descnbe under DESCRIPTION OF OPEP.ATIONS be!vx E L DISEASE - POLICY UMIT S 1, 000 000 A Commercial Property cp0-69a7991-Dz 11/1/2023 11/1/2o2a �imi See Property Yolicy DESCRIPTION OF OPERATIONS J LOCATIONS I YEHICLES �ACORD 107, Addklonel Reirurks Schedule, may ba attached if more space Is requlred) City of Fort Collins is included as an Additional Insured with respects to General Liability and Auto Liabili.ty, as required by written contract. GERTIFICATE HOLDER City of Fort Collins PO Box 580 Fort Collins, CO 80522 CANCELLATIQ[�E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANGELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE� REPRESENTATIVE OC'1 Ei2iildR �'�til�`.�c$$ ACORD 25 (2014101) INSQ25 c2oiaoi} O 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of AGORD A�Ro� CERTIFICATE OF LIABILITY INSURANCE OAT3132/2Qz3 YY) THIS CERTIFICAl"E IS ISSUED AS A MAT7ER Of INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH15 CERTfFlCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, fXTENO OR ALTER THE COVfRAGE AFFORDED BY THE POLICIES BELOW. TH1S CER7IFICATE OF INSURANCE ROES NOT CONSTITUTE A CONTflACT SETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiticete holder is an ADDITIONAL INSUREU, the policy{1es) muet have ADDITIONA� INSURED provisivns or be endorsed. It SUBROGATION IS WAIVEO, subJect to the terms and conditlons of the pollcy, certaln policles may requfre an endoraement. A statement on this certiNcate does not confer rl hts to the tertlifcate holder in Ifeu af such endorsement s. PRODUCER CRS Insurance Srokerage �� Katie Smothers �nx 9780 S Meridian Blvd Suite 4QQ . 303-996•7800 ru o: 303-T57-7719 Englewood CO 80112 Ao ''{E : ksmothers crsdenver com INSURED Robson Contracting, Ltd. 8475 W I-25 Frontage Road Longman# CO 80504-2402 ROBSC.7 a : United Fire INSURER 0 : tfiSURER E : tNSUREH F : t3021 COVERAGES CERTIFICA7E NUMBER: 2051607349 RSVISION NlJMBER: THIS IS TO CFRTIFY THAT THE POLICIES OF INSURANCE LkSTEp BELOW NAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POIICY PER140 INDICATEO. NOTWITHSTANDING ANY fiEQUIREtv4EN7, 7ERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEN� WITH RESPECT TO WH�CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRI8EP HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANU CONpITIpNS OF SUCH POLICIES. L(MITS SHOWN MAY HAVE BEEN REDUCEQ BY pA{D CLAIMS, ��g� TYPE OF INSUAANCf ~�ADbL SUBR POUCY EFF { POLaCY El(P��'� UMIiS LTR WV POL3CY NUMBER MIA�'DDIYYY I MFA�'p01YYY A X COMMERCIALGENERALLIABILITY � 60502696 4l1/2023 4/1/2624 EACHOCCURRENCE 51,000,000 I CLAIMS�MAOE x QCCUfi � PREMISES IEa ocarrence� S 300.OQ0 MED EICP {My one person) S 10,000 1 PERSONAL 6 ADV INJURY 5 1.000,000 '"G'E�N'L AOGREGAFE UMtT APPLIE5 PER: GENERAL AGGFIEGAiE � 52,000,0�0 1POUCY X �F� LOC � PRODf1CTS COMPfOPAGG 52,000,000 � OTHER: � § A AUTOrt081LEUASILiTY 60502896 4J1/2�23 4l112024 COMBINEOSINGLEiIMIT 51.000,000 {Ea acaden x ANY AlJTO gp01LY YNJURY �Per pgi5on) b OWNEO SCHEDULED 80DILY fN.ilfRY (Par aocident) S AUTOS ONLY AUTOS X AU OSONLY x. AU�TJ SQNL� Pa�a�AdenD�1MAGE� � I I �� s A x UMBRELLA LIAB X ��R 6U502896 4l1i2d23 41112024 Fp,CH OCCURRENCE S 2,0OO.OQO FJCCES9 UA8 � CUUMS-MAOE i Apc3REGATE SZ.flQO OQ0 QED � X RETENTIONS r S WORKEASCOIAPENSA'tION i STATUTE ER� AlfO EMPLOVERS' LIABILITY Y t N ANYPROPqIE70WPAR7NERiEXECUTIVE , E L. EACH ACCIDENT y OFFICEfliMEMOEREXCLUDED? � N�A (Msndarory In NH) E.L. D� ISEASE EA EMPIOYEE 3 II yp5, d95criba untlar DESCRIPTION OF OPERATIO�5 bebw E.L. D1SFJ�SE • POLICY UMtT b j! I DESCRIPTION OF OVERATIOtIS 160CAilON3/ VEHICLES {ACORO 101, Additlonal Ramerka 3cMdulo, m�y be tltached if more epace le reQuked) TE HOLDER ELLATION SHOULO ANY OF THE ABOVE DESCRIBED pOLICtFS BE CANCELLED BEFOfiE 7HE EXPIRAYION QATE THEREOF, NaTICE WILL BE DELIVBRED tN ACCORDANCE WITH THE POLICY PROYISIONS. City of Fort Collins Neighborhood & Building Services 281 N. Coltege Fort Collins CO 80521 AUTHORIZEDREPRESENTATiVE � 1988•2015 ACORD C4RPORATION. Ail rights reserved. ACORD 25 (2016l�3) The AC4R0 name and Ioga are reglstered marks of ACOFiD r or z ao�ot �►C o� CERTIFICATE OF LIABILITY INSURANCE pATE(MM/DD/YYYY) 12128/2022 THIS CERTIFICATE IS 15SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES Nb7 AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEiWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PROdUCER, AND THE CERTIFICATE HOLDER. IMPOR7ANT: If the cerlificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDfTIONAL INSl1RED provisions or be endorsad. If SUBROGATION IS WAIVEQ, 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 fleu of such endorsement{s). PRODUCER NTA T Leigh Pullen MAME: Moody InsuranceAgency, Inc. pHo++E (303) 824-6600 F� (303) 370-0178 C No Exl : AIG No : BO55 East TuftsAvenue E-MAIL leigh.pullen@moodyins.com ADDRESS: SUI�E 1000 INSURER�S)AFFORDING COVERAG£ NAIC il Denver CO 80237 iNsuaER a: Travelers Indemnity Co of Conneclicut 25682 iNsuReo , 'iravelers Indemnity Company 25658 JHL Enterpnses. Inc , DBA: JHL Constru�lors, Inc. 9100 E Panarama Drive SUit2 300 Englewood CO 80112 INSURER B . iHs�RER c: Travelers Property Casualry Co of America 25674 iNsuaea o: Pinnacol Assurance 41190 INSURER E : COVERAGES CERTIFICATE NUMBER: 2312a Master REVISION NUM�ER: THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANGE LISTED BELOW HAVE BEEN SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY RE�UIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VNiICH THIS CERTIFICATE MAY BE iSSUED OR MAY PERTAIN, THE INSURAIVCE AFFOftDED BY THE POLICIES DESCRI6E0 HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NAVE BEEN REQUCED BY PAID CLAIMS. INSR POLICV EFF POLICY EXP LTR TYPE OF INSURANCE INSD NlVD POUCV NUMBER MMlDDIY1'YY MMlDOlYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURREMCE S ��OOO OOO CLAIMS-MAOE a OCCUR A 300,000 PREMiSES Ea occurtence 5 x Ded $50,000 PD MED EXP (Arry one Person) S 5,000 A DTC08J8UL206TCT23 07/0112D23 O1J�1I2024 pERSONALBADVINJURY S��fl�� GEN'LAGGREGATELIMITA�PLIESPER GENERALAGGREuATE S 2,Q00000 POLICY X pR�� lOC PRODUCTS-COMPlOPAGG S 2�000,000 � JCC' OTHER 5 AUTOMOBILE LIABILITY COMBINED SINGL£ LIM1T g 1,000,000 EaacuOem X ANYAUTO BODILY INJURY (Per person� S B OWNED SCHEDULED 8103L1209422326G 01101l2023 01/01/202A BODILY INJURY (Per acddanl} S AUTOS ONLY AUTOS HIREO NON•OWNE� PROPERTY bAMAGE X AUTOS ONLY X AUTOS ONLY Per attitlenl 5 S x UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5 ZO,OOO,OOO C ExCESSLIA6 C�nIMS-MADE CUP9M5655202326 01101f2023 01l01/2024 AGGREGATE S Z0,000,000 DED X RE7ENTION S �O,ODO 5 WORKERS COMPENSATION X SEATUTE ERH AND EMPLOYERS' LIABILITY ANY PROPRIE70RfPARTNERlEXECUTIVE Y J N 1,000,000 � OFFICER/MEMBER EXCLUbED? � N!A 4479421 04101l2023 OA/01/2024 E.L. EACHACCIDEkT S (Mandatory In NH� E.L- DISEASE • EA EMPLOYEE S ��QOO,000 it ves. eescnbe under 1, 000,000 DESCRIPTION OF OPERATIONS below E L pISEASE - POLICY LfM1T 5 Inland Marine LeasedlRented Equip 1,000,000 C QT66094728268TIL23 01101l2023 07/01/2024 Scheduled Equipment 4,368,785 Installa[ion Floater 250,000 DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES (ACORD 701, Additfonal Remarks Sehedufe, mey be aftached if more space is requlred) City of Fort Collins 281 Norlh Callege Ave Fort Collins ACORD 25 (201fi103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIED BEFORE THE E%PIRATION DATE TFiEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHpRIZEO REPRESENTATIYE CO 80524 �p(`f�1 V ��/1(i� �Ptip �n/y,-,(� � , ,�,�,�• s„�, � O 1988-20i5 ACORD CORPORATtON. All rights reserved. The ACORD name and logo are registered marks of ACORD �_, � OATE(MlNDD/YYYY) A� a CERTIFICATE OF LIABILITY INSURANCE 04f0112023 7HfS CERTIFICATE IS ISSUED AS A MATTER OF INFOAMATIdN ONl.Y AND CONFERS NO RIGHTS UPON 7HE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POL.ICIES BELOW. iHIS CERTfFICATE OF IIVSURANCE DOES NOT CONS7ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTNORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If tha certificate hofder is an ADDITIQNAI INSURED, the policy(ies) must have ADDITIONAL INSUFtED provisions or be endorsed. If � SUBRflGATIdN IS WAIVED, subject to the ierms and conditions of the policy, certain policies may requlre an endorsement. A statement on this �' certificete does not confer rights to the certiflcate holder in Ileu oi such endorsement(s). �� PRODUCEF CONTACT d NAME: � AOn RiSk ServiCeS Cent�dl, Inc, � Chi CagO IL Offi te (NC. No. Ext): <866) 283-7122 aC. No. :�800) 363-0105 � 200 East rtandolph E-MAIL Chicago I� 60601 USA �dRE�� 2 INSURED INSURER A: Bogart �onstruction, IfIC� INSUREFB: 9980 Irvine Center Drive, Suite 200 irvine G4 92618 USA INSURERC: INSURER D: lNSUREfi E: iNSURER F: INSURER(S) AFFORDING COVERAGE I NAIC If Zurich American Ins Co 16535 DVEHAGES CERTIFICATE NUMBER: 570098823162 REVISION NUMBER: Tiil5 IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEIOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FpR iHE POLlCY f'ERIOD INOICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OThiER DOCUMENT W1TH RESPECT TO WMICH THiS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN fS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND C�NDITIONS OF SUCH POLICIES. �IMITS SHOWN MAY FiAVE BEEN REDUCED 8Y PAID CLAIMS. Limits shawn are as requested -R TYPE OF INSURANCE IN 6 WVO ��Y NUMBER MMfDD1YYYY MM,'DD;YYYY LIMITS X COMiYIERCIAI GENERAL LIABIUTY GLO EACH OCCURRENCE SZ , OOO, OOO CLAIMS•MApE %� OCCUR PREMISES Ea otcurrente SS00, 000 GENLAGGREGATE LIMITAPPLIES PER: POLICY �X P�O- � LOC JEC7 07HEfi: AUTOMOBILE LIABILITV ANY AUTO OWNED SCHEDULEU AUTOS ONLY AU70S HIREOAUTOS PfON-OWNED ONLY Al1TOS ONLY UMBRELLAt1AB OCCl3R EXCESS UAB CLAIMS•MADE ION EMPLOYERS' LIABILIiY Y � N ANYPAOPRIETORlPARTNER. EXECUTiVE � OFF10ERrMEMBER ExCLUDE�? I' I N� A MED EXP (Any OnB pBr50nj PERSONAL & ADV INJURY Gf.N[FnLnGGREGnTE PROOUCTS � COMP/OP AGG f10,000 52,�00,�� * N � N �' O � COMBINEO SINGLE LIMIT BODILY INJURY ( Per person) BODILY INJURY (Per accdont) PROPERTY DAMAGE EACH OCCURRENCE AGGREGATf E.L. EACHqCCIDEN7 E.L. DISEASE•EA EMALOYEE E.L. DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS 7 LOCAtIONS � VEHICLES (ACORD 101, Additfonal Hemark� Schadule, may be aneched if more epace fa required) CERTIFiCATE HbLDER CANCELLATION 14,000,000 51,000,400 $1,000,000 41,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIED BEFORE THE E%PIRATION OATE THEREOF, HDTICE WILL BE DELIVEHED IN ACCORDANCE WITH THE POLfCY PROVIS10N8. �,'�' � Ci ty of Fort Col l i ns AUTHORI2ED REPRESENrATIVE � Attn: Development Services Department 281 N. College Ave. � R'�y, r„�� i�� Fo rt col 1 i ns CO 80524 USA �_ /! Cl/ Ziici+(G c/ �1988-2015 ACORD CORPORATION. All r[ghts reserved. ACORO 25 (2016/03) The ACQRD name and lago are registered marks of ACORD O z r V � i o, V '��, DATE (MM�DO/YYYY) oRo� CERTIFlCATE 4F LIABILITY INSURANCE 3131t2023 THIS CERTIFiCATE IS ISSUED AS A MATTER OF INfQRMATtON QNLY AND CONfERS NO RIGHTS UPON THE CEHTIFICATE HOLDER. THIS CERTIFlCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TFfE COVERAGE AFFORDEq BY THE POLICIES BELOW. TH1S CER7IFICATE O� INSURANCE DOES NOT CONSTI7UTE A CONTRACT BETWEEN TFlE ISSUIHG INSUAER(S), AUTHOFtiZ�q REPRESENTATIVE OR PRODUC�R, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITiONAL INSURED, the policy(ies) must have ADDITIONAL iN5URE0 provisions or be endarsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poJtcies may requlre an endorsement, A statement on thls terilficate does not confer rlahts to the cert[ficate holder !n lieu of such endorsamenttsl. PAOPUCEA CRS Insurance Brokerage 9780 S Meridian Blvd Suite 400 Englewood CO 80112 1NSURED AAARK Heating, Air Conditioning dba Aaark Total Home Services 5050 Fox Street, Unit A Denver CO 80216 COVERAGES Electrical and Plumbmg, I.LC NAME�� Sh8�9 TdR18y0 �� f:303-986-7800 E-MAIL a p E : stama o crsdenver.� INSURERiS}_AFFO irrsuREa a: Acadia lnsurance Co AAARK 1 ��URER B : CERTIFICATE NUMBER:98410516 REVISION NUMBER: 303- 31325 THIS IS 7Q CERTIFY THAT 7HE POLICIES OF INSURANCE LISTED BEtOW HAVE 8£EN ISSUEd Td THE INSURED NAMED ABOVE FOR THE POIICY PERIOD INDICA7ED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CaNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 7HiS CERTlFiGATE MAY $E kSSUED OR MAY PERTAIN, THE INSURANCE AFFORQED BY THE POLICIES DESCRIBED FiEREIN IS SUSJECT TO ALL THE TERMS. EXCLUSIONS AND COND�TIONS OF SUCH POLICIE5. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI� CLAlMS. ILTR I TYPE OF IMSURANCE 4� ~ IAN bL� � 6R p�CY NUM6ER M�MfuppryYYY MFAro�NYYY I� y� u tIMTS �� n X`COMMEqCIALdENERALLIABIUTY CPA3276514 4lt/2Q23 411/2024 �qCtiOCCURRENCE S1,000.00Q CLAfMS•MADE %� OCCUR PREMiSES�Eaocarrencoj� 530U.000 ME� EXP (My one poraon) b 10,000 PERSONAL 8 AOV iNJUHY S 7.000.000 GEN'LAGOFEGATELIMITAPPLIE5PER GENERALAGGREGATE E2,000,000 X POLICY ��p� dECT �� PROOUCTS • COMP/�P AGG 52 000 000 OTHER a A AUTOMOBILEUABILFTY CPA3278518 4!1l2Q23 411/2024 ��g�NEOSINGLEl.�MIT 51.�00.000 _(�a.acad�Mj ANY AUTO BpDILY INJURY (Per per5on) S OWNED X SCHEDULED BO�ILY INJURY (Per aacideni! $ AUTOS ONLY AUTOS X AU OS ONLY x A�OS ON Y LP �a�d ��AGE b— S A X UMBqBLLALIAB � p�CUR CPA3276514 4l712023 4l1/2024 E,qCHpCCURRENCE 54.009,000 EXCE89 UA8 CLFttMS•MADE AQOREGA7E 54.000,000 I DED i x I RETENTiONS J^ 5 WORKERS COAiPENSATlON AND EMPLUYEp$'LIABIUTY Y�N STATUTE ER ANYPROPRiETOwPARTNEWEXECUTIVE � E.L. EACN ACGIDENT �lJo Covefege _� OPFICEFUMEMBEREXGIUDED? N/A ------- - (Mendatory 3� NH) E.L, OISEASE EA EMPi OYFE E NO Gavere�B I} yes, desa�be unclpr ' DESCAIPFION OF Of�ERAT10N5 bebw � E L. DISEASE • POUCY LIMVT S No COvcra E A Spepal FormlACv CPA3276510 41112023 4/1l2024 ( LscURenied Equlpment 250.Q00 � oedua�me 1,40Q i t i DESCRIPiION bF OvERA114H8 ! LOGA710N9 i VEHIC4ES (ACORD 101, Addl�lonel Ramarks ScMdul�, mey bs ettschad 11 more apeca Is raquked) rE SHOULU ANY OF THE ABOYE DESCRIBEO POE.�CiES BE CAi�lCELLED BEFORE rFIE EXPIRA710N DATE TFiEREOF, NOTtCE WILL BE DELIVER£D IN ACCORDANCE WITH THE POLICY PROVl510NS. City of Fort Coll�ns P � Box 850 Fort Collms CO 84522-0580 ACORD 25 (2016I03) AUTHORIZED AEPRESENTATIYE �� •� � 1986-2015 ACQRD CORPORATION. All rights reserved. The ACORD name and logo are registered marks af ACORD r �r � /f1d�0 • i��:i� � r�y., � .,, � Cllent#: 1926886 1501TSASOL AC4RD� CERTIFfCATE OF LIABILITY INSURANCE DA7E(MMNDlYYYY) 4/04/2023 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIF(CATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TFiE POLICIES BELOW, THIS CERTiFICATE QF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORiANT: If the certiticate holder ia an ADDiTIONAL INSURED, the policy(fea) must have ADDITIOlJAL INSURED provfaions or be endoraed. If SUBROGATION fS WAIYEb, subject to the terms and candltfona ot the poliey, certain policfea may requlre an endorsement. A etatement on thie certificate does not confer any rights to the certificate holder in lieu of auch endorsement(s}. PRODUCER f NAME�. T Emily Booth McGrfff Insurance Services PHONE FAx (wc. No exi : 610 279-8550 a�, Na 610 279-6543 i50 South Warner Rd, Sufte 4fi0 E MAI ebooth�mc rfff.com Kfng Of Prussla, PA 1940Cr2639 noonE_ss: 9 __ � 6� 0 27�-�JSD _^ INSUFER(S) AfFORDING COVEflAGE� NAIC Y ir+suaERn: Great Americen EhS Insurance Company 37532 INSURED INSURER 8: ChUbb N8t101181 IIISUfH11CB COrtlpaily � �OOrJZ ITSA SoEutlons LLC Arch S eclan Inaurance Com an 21199 INSUAER C: P Y P Y 450 Raritan Center Parkway, Sulte F � INSUAER 0: Edison, New Jersey 08837 � INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVIS{ON NUMBER: THIS fS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEM ISSUEO TO THE INSURED NAMED ABOVE FOR 7HE POLICY PERtOD INDlCATED. NOTWITHSTAN�ING ANY REQUIREMENT. TERM OR CONDITION OF AM! CONTRACT OR OTHER DOCUM8N7 W1TH RESP�CT TO WIiiCH THIS CERTIFICATE MAY BE ISSUED OR MAY PEFt7AIN. THE INSURANCE AFFORDED BY 7HE POLICIES DESCRIBED HEREIN IS SUBJEC7 TO ALL TFiE TERMS, EXCLUSIONS AND CONDI710NS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BL[fJ R�DUCED 8Y PAID C�AIMS. LTRTY�E OF IkSURqNCE iADDLSUBR�� POLICY EFF� � PQLICV EXF i �� _ _ _ 'INSR �WVD POLICV NUMBEfi {M1NDDlNYYY)_I{MM/ODlYYYYJti__. IIMITS /� �(1 COMMERCIAL GENEpAL LIABfLfTY pL495919206 IO�M1I`lOZ3 MIORIZOZ4! EACH OCCURRENCE �� 51 0� �� CLAIMS�MADE : X OCCUR � PREMISE� 7_ORENTED� ES EaOCCVrrMCe 5500�000 �BUPD Ded:2�5{� k MED E%P {Anyone person� 5201�0 GENL AGGREGATE LIMIT APPLI�S PER� PAO- PpLICY _ JECT __.� LOC OTHER. AUTOM6BIlE LWBILRY ANY AUTO OWNED � SCHEDULEO AUTOS ONLY AUi0.5 HIPED NON•OWNED __._ AUTOS ONLY I AU70S ONLY %� UMBRELLA LIAB ' �cus� � XS2259786Q4 �( ERCESS LIAB E X CLAtMS�MADE D�0 .�RETEN71pN S ` � B WORKERS COMFENSATION t , �� gp1349 AND EMPLOYERS' LIABILRY � ` ANY PROPRIETOPoPAqTNER�EX£CUTNE Y� N� f I OFFICEWMEMBEREXCLUDEO? I N� N/A� (Mentletory In NH) � j II Yp. descrlbe under C Professional (Incl.Cyber Liab) C4LPL100308 5/2023 I 02/1 PERSONAL 8 AOV INJURY� s1,000,000 GENERALAGGfiEGATE S2�OOO}OOO PROOUCTS COMV!OA AGG � SZ�OOO,OOO � fS __I COMBINEOSINGLELlM1T ( BODILYINJURY{Perperson) 5 BODILYINJVRY(Pcraccdenl) $ PROPERT'YDAWSAG£ � s �er accideni) S EACH OCCUf AGGREGATE E.L EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE • POLIGV LIMIT AGG: S2M DED: 55,000 S Q�4 0�� OESCRIPTION OF OPERRTIONS 1 LOCATIOkS I VEHICLES (ACORD 101 , Addltlonel qamarkf Schedula, mey be ettachod II mora spaco Is raqulrocQ The Cfty of Fort Colllns Purchasing Divisfon, Its officers, agents and employees are recognized as additional insured wlth regards to general Ifability if required by written contract and are subjact to the terms and oontfitions of the policy. Clty of Fort Colltns Purchasing Diviston PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELIED BEFOqE 7HE EXPIqA710N DATE THEREOF, NOTICE W(lL BE OEUVERED IN ACCOqDANCE WITH THE POLICY PHOV1510Ti5. AUTMOR¢EDREPRESENTATIVE � � � �°"�dwf-'��.(lc:r.� m 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03} � pf � The ACORD name and logo are registered marks of ACORD �21s #S3190723QJM31886787 MRYA �� Pags 1 0! 1 � CERTiFICATE OF LIABILITY INSURANCE QaTE(MNUOOrYYYY► ��Q 04/03/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAI`tON ONLY AND CONFERS NO RIGHTS UPON THE CEATIFICATE HOLDEii. THlS CERTIFICATE DOES NOT AFFiRMA7iVELY OR NEGA7IVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE pOUCIES BELOW. THIS CERTIFICATE OF INSURANCE D�ES NOT CONSTITUTE A CONTRAC7 BETWEE►J THE ISSUING INSURER(5j, AU7HORIZED REPRESENTATIVE QR PRODUCER, AND THE CERTIFICATF FiOLDER. tMPORTANT: If the certlfEcete hoider Is an ADDITtONAL INSURED, the policy(ies) must have ADDI7iONAL INSURED provisions or be endarsed. If SUBROGATION tS WAIVED, subJect to the terms and condltions ot the poffcy, certafn poticies may requtre an endorsemenl. A statement on this certificate does not confer ri hts to the certificate hotder in Ileu ot such endorsement s), PRODUCER ONfACTytill�• ToMers Sratsoa Cartificata Centor Willla Tov�ra Watson North�ast, Inc. NAMB: c/o 26 Century 81vd pH�� , 1-877-9C5-7376 � aC� 467'2378 v.0. 8ox 305191 Ep q • certificateaQwillis.com x.�hvillw_ 'CN 472�(IRioi nRi INBUR£U CLE1Uisault Consulting Ina 6501 Bridqe Point Parkway, 8uit• 423 1►ustin, T% 78730 INSURER S AFFORDING COYERAGE NAIC M Zurieh Ameriena Inaurance Company 16535 Nnerican Guarant�a ar�d L3abiYlty I�auranca 26247 IN9 UpE R D : lNSURER E : C�VERAGES CERTIFICATf NUMBER: N28639709 REVISION NUMBER: THIS IS TO CERTIFY TF{AT THE PpLICIES aF INSURANCE LISTED BELOW HAV� BEEN 1SSllED TO 7HE INSl1RED NAMED ABOVE FOR THE POLICY P�RIOD INDICATED. NOTWITHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAGT OR OTHER DOCUMEN7 WITH F2ESPECT TO WHICfi THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 7HE INSURANGE AFFORDEO BY THE POLfCIES DESCRIBEd HEREIN IS SU6JECT TO ALL 7F{E TERMS, EXCLUSlONS AND COND�TIONS OF SUCH POUCIES. IIMITS SHOWN MAY HAVE BEEN REDUCED BY PAiO CLAIMS. ��Tp 7YPE OF INSURANCE Ab��g�� POLICYNUMBER M�lr1/UCp/Y Y M�D1YYYp UAYTS x COMMERCIAI GENERAL LIABIUTY � EACH OCCURRENCE � 3 1, 000, 000 I CiAIMS�MAOE X p�CUR � ' l, 000, 000 PREMIzS_E_$ (F�_airrence) IS � � MED EXP IAn o�+e erson� f$ 10, OOa Y� GLO 7465762-00 04/01lY423 04/O1/i0T61 � PERSONAL & ADV INJURY I$ 1, 000, 000 GEN'L AGGfiEGATE LIMIT APPUES PER: � I GENERAL AGGfi£GATE $ �, OQO, 000 I p011CY PA�� LOC PRODUCTS - COMP!OP AGG S Z, ObO, D00 JECT I qTHER� I $ AUTOMOBIlEUA81UTY � COMBINED SINGLE LIMI acCidenl� $ 2, 000, 000 .l.Fr�._--- _._ . X ANY AUTq BODILY INJURY (Pnr porso�) $ 71 � OWNED �' SGHEDULEU Y eAP 7q65763-00 04/O1/2023 04/Ol/202� gppILYINJURY(Peractidenll g � AUTOS OfJLY AUT�S � HIAED NONOWNED PAOPERTYDJ4MAGE s AUTOS ONLY AUTOS ONLY LPer acCidonl) � { $ �( � UMBRELLA UAB X� pCCUR I EAGH qCCURRENC9 I$ 10, 000, 000 B EXCESSLIAB CLAIMS•MAOE AUC 56CO3f5-00 04/O1/2023 0�/O1/Z034 AGGREGA�E $ L0,000,000 f OEO X RETENTION � 10. 000 $ WOAKERSCOMPENSA710N AND EMPLOYERS' L4ABIl,ITY X � 5TA7UTE ER )1 ANYPRUPRtETOR•PAR7NERlEXECU7IVE v� N E.L. EACH ACCIDHNT g 1, 000, 000 OFFIC£WMEMBEpEkGLUDEO? � HfA NC 7465760-00 Od/O1/2023 04/O1/2026 (Mandetory in NH) I E.L. DISEASE - Ea EMPLOYEE 3 1, 000, 000 I! yes. describe uncler � l, 000, 000 OESGRIPTION OF OPERATfONS bebw I E.L. DISEAS£ • POUCY LIMIT $ DE9CHIP710N OF OPERATONS! LOCATIOlIS 1 VEt11CLES (ACOF0101, AddNional Rwnerk� Schadule, may be attechad i1 more 6pace fa requfrod} City oP Port Collins is included es 1►dditional In�urt�d in ateordance xith tha policy provisions ot thw Genoral Liability and Autotoobila Liebil3ty policias. CANGELLATION SHOUL� ANY OF THE ABOYE DESCRIBED POLICIES BE CANCHLL80 BEFORE YHE EXPIRATIGN DATE 7F4EpEOF, N0710E WILt BE p@LIVERED IN ACCORDANCE WITHTHE POLICY PROVISiOMS. Clty aP Fort Collins P O 8ox 580 8ort Collina, CO 80522 ACORD 25 {2016/03) AUiFlORIZED REPRESENTATIVp I �,��' � 198$-2016 ACORD CORPORATION. All ttghts raserved. 7he ACORD name and logo are registered marks ot ACORD sn xo: Z39SB980 w+*cx: y916726 2ot2 53t0 Client#: 180844 LODGCAP DATE (MM7pOlYYYY) ACORD,W CERTIFICATE OF LIABILITY INSURANCE 4104I2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 7HE CERTIFICATE HOIDER. THIS CERTlFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTlFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED REPRESENTATIVE Ofi PRObUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder is an ADDITIpNAL 1NSURED, the policy{iesj must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION IS WAIVED, subJect to the terms and conditions of ihe policy, certafn policies may requlre an endorsement. A statement on this cerlificate does not confer any rlghts to the certiflcatv holder in lieu oE such endorsement(s�. PRODUCER NAME: Denise Leeper CBIZ Insurance Services, Inc. PHo"E— 208 298-3806 208 74B-9433 A!C No Hxt : AIC No �. 1504 8th St A oQ'Eg . dleeper@cbiz.com Lewiston, ID 83501 INSURER(S) AFFORDING COVERAGE NAIC p 208 743-9426 iNsuRpR A: Toklo Marine Specfafty Ins. Co 10738 INSURED INSURER B: PrOgfBS81Ve CdSUaliy IftSUfdI1C9 CO. Z�i2BO l.odgepole Capital Ventures, LI.C� INSURER C: dba Rocky Mountaln Adventures INSURER D : PO Box 1989 INSURER E : Fort Collins, CO 80522 ,.,_„___ _ COVERAGES CERTIFICATE NUMBER: REVISION NUMSER: THlS IS TO CERTIFY TfiAT THE POLICIES OF INSURANCE LISTED C�EI.OW HAVE BEEN ISSUED TO THE INSl1RE0 NAMED ABOVE FOR THF POI.IGY f�ER:OD INDICATED NOTWI7HSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRAC7 OR OTHER DOCUMENT WITH RESPEGT TO WH CH TH f� CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, TFiE INSURANCE AFFOR�ED BY THE POLICIES DESCRIBEp HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIp CIAIMS I�TRR TYPE OF INSURANCE NdnL SUBR pOLICY NUMBER MMIDdY� MMJODlYY1E'YY LIMITS A X COMMERCIAI GENERAL LIABIUTY X PPK2536559 4101l2023 04/01/202 EACH OCCURRFNC:F s 1 000 000 CLAIMS-MADE �X occurz �k°E"�n+ISES EeFVCCur BntB s300 000 MED EXP (Any ane parz�r � S 2 rJfl� PERSONAI 8 ACV INJI.RY S ��OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S�,OOO,OOO PRO- PRODUCTS - COf�fP10P AGG SZ,OOO,OOO ^ POLICY ❑ JECT � LOC OTFtER: 5 � AUTOMOBILE LIABILITY 40623997 1OI� 7IZOZ2 O�SI�7JZO2 Ea aocidBDtSING�E LIM1T ��OOO�OOO ANY AUTO BODILY INJURY (Per person) S AUTOS ONLY X SCHEDULED BOOILY INJURY (Por eccidenl) I S AUTOS HIRED NON•OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY P9r a id nl S A �( UMBRELLA LIAB X OCCUR PU6857679 ^ 4l0112423 04/01 J202 FJ�CH OCCURRENCE S� �� EXCfSS LIAB CLAIMS-MAOE I AGGREGATE 5 DED X RETENTIONS�OOOO S WORKERS COMPENSATION PER OTH- AND EMPl.OY£RS' 1IA81LITY OFFICERIMEM8ER EXIxCLUDED7 ECUTIVE� N! A E.L. EACH ACCIDENT S (Mandatory In NH) E.l. DISEASE - EA EMPLOYEE 5 II yes, dascn6e under �ESCRIPTiON OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (AGORD 101, AddlUonat Remarks Schedule, may be attached if more spece ie raqufred) The certificate holder is an additional insured for general liability only with respects to the ongoing operations of the named insured. Landowner ELLATION City of Fort Collins Natural Areas Department 1745 Hoffman Mill Rd Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL�ED BEFORE THE EXPiRATION DATE THEREOF, NOTICE WILL BE �ELIVERED IM ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEHTATIYE CBIZ I�su�ance Ser�ices, I�c O 7988-2015 ACORD CORPORATION. Afl rights reserved. ACORD 25 (261filQ3� 1 of 1 The ACORD name and logo are registered marks of ACORD #S 34975741M3497570 W D L Aco � CERTIFICATE 4F LfABILITY iNSURANCE DATE�MMlDDlYYri) �� 4/4/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF lNFpRMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTfFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THlS CERTIFICATE OF INSURANCE DOES NOT CONSTI7UTE A GONTRACT BETUYEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANb TFlE 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 teRns and conditfons of the policy, certain policies may require an endorsement. A statement on this certificate does not conier rights to the certificate holder in lieu o( such endorsement(s). PRO�UCER CONTACT Alliant Insurance Services, Inc. r+aMe: Haile A uirre PHONE FA% 701 B St 6th FI ^�c "� : San Diego CA 921U1 AooR�ess: Haile .A uirre alliant.com INSURED Titan Solar Power CO, Inc. 525 West Baseline Rd Mesa, AZ 85210 T AFFORDING COVERAGE iNsuReRa: Colony Insurance INSURER B : FeC�@�8� �f1SUf8fIC@ INSURER D : NAIC p 39993 20281 I I INSURER F: I � COVERAGES CERTIFICATE NUMBER: i364818239 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 8EEN ISSUEQ TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NONNTHSTANDING ANY REQUIREMENT, TERM OR CONQITION OF ANY CpNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEO HEREIN 15 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCM POLICIES. LIMITS SHOV+IN MAY HAVE BEEN REDUCED BY PAID CIAIMS. INSR Typ� OF INSURANCE A � POL[CY EFF POLICY E7(P LTR POUCY NUMBER MMlDDlYYYY MMIDD/YYYY LIMITS A X COMMERCIALGENERALLIABILITY PACES426i012 41112023 4!1/2024 EqCHOCCURRENCE $1,000,000 ClAIMS•MADE X OCCUR A N PREMISES Ea occurcence S 1U0,000 MEO EXP (My one person) $ 5,000 PERSONAL & AOV INJURY $ 1,OOQ,000 GEN'L AGGREGATE LIMIT APPLIES PER GEN£RAL AGGREGATE $ 2,00O,OOp POLICY %� jE � LOC PROOUCTS - COMPIOP AGG $ 2,000,000 OTHER. $ 6 AU70MOBILELIABILITY 54326534 4l112023 4/112024 + coMBINEO SINGLE LIMIT y �,000,000 , �Ea acc�Certit X I+NY AUTO BODILY INJURY (Per person) S OWNEO SCHEDULED BODILY INJURY ;Per accidentj $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AU70S ONLY AU70S ONLY I Per eccdentl � --- � 3 UMBRELLA LIAB OCCUR I EACH OCCURRENCE S EXCE55 LIAB ��AIMS-MADE AGGREGATE g DED I RE�ENTION $ I E g wORKERS COMPENSATION 54326535 4/112023 41112024 �X � PER OTH- ANO EMPLOYERS' LIABILITY Y! N �_STATl1TE ER ANYPROPRIETORtPARTNERlEXECUTIVE I E L EACHACCIOENT S 1 000.000 OFFiCEWMEMBEREXGLUbED? � N/A (Mandatory in NH) E L DISEASE EA EMPLOYEE E 1 000.000 I( yes, desa�be under DESCRIPTiON pF OPERATIONS GBlow E L DiSEASE � POLICY L MIT $ 1 OOO OOO DESCRIPTION OF OPERATIONS ! LOCATIONS 1 VEHICLES (ACOR� 101, AddiHonal Remarks Schodule, may be aftached if mara epece is required) �:� y i � �y_t r �: c•� � �� c� City of Fort Collins 281 N. College Ave Fort Coliins CO 80524 SHOULD RNY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WlLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A�7110R�ZED SEp$ESENTATIVE �� O 1988�2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The AGORD name and logo are registered marks of ACORD �� DATE(MIvUDO/YYYY� A� Q CERTIFICATE OF LIABILITY INSURANCE o4-oa�Zo23 THIS CER7lFICATE IS lSSUED AS A MATTER OF kNFORMATION ONLY AND CONFER5 NO RkGHTS UPON THE CERTIfICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OH ALTER 7HE CQVERAGE AFFdRDED BY THE PpLIClES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHflRIZED REPRESENTATIVE QR PRODUCER, AND THE CERTIFICATE HOLDER. IMPOR7ANT: If the certificate holder is an ADDITIflNAL INSURED, Ehe policy(ies) must have ADDITIONAL 1NSURED provisions or be endorsed. It � SUBROGATION IS WAlVED, subject to the terms and condiiions of ihe policy, certain policies may require an endorsement. A statement on this w certificate doee not confer rights to the certificate holder In lieu of such endarsemen!(s). �� CONTACT PROOUCER � NAME: Aon Risk Services Central, Inc. � (866) 283-7122 F� (800; 363-0105 y ChlCdQO IL office (AC.No.Ext): A,'C.No.: � 200 east Randolph e-rna� ChiCagO IL 60601 USA ADDRESS: _ �i � INSURE� Kellermeyer aergensons Services, LLC 3605 ocean aanch alvd. Suite 200 Oceanside CA 92056 USA COVER INSURER(S) AFFOfldING COVERAGE INSURER A: ZUf 1 Ch Ai112r1 Ca� If15 CO u+SUREfte: American Zurich Ins Co INSURER C: ACE Pr'operty & CdSudlty TnSurdnCe CO iN3URER 0: IH$URER E: INSURER P: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE ?OLICY PERIOD � ENDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CON7RACT QR 07HER DOCUMENT WITH RESPECT TO WHICH TH S ° CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFQRDED BY TWE POLICIES DESCRIBED HEREIN !S SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested �TR TYPE OF INSURANCE IN � WVO POLICY NUMBER MM,'OD7YYY MMIODIYYYY LIMIT$ X COAIMERCIA4 GENERAL I.IABILITY GLO EACH OCCURRENCE S2 , OOO, OOO CLAIMS•MADE X� OCCUR PREMISES Ea occunence E S00 , 000 Meo EXP (Any o�e penon� S 1O , OOO PERSOMAL 8 ApV INJURY SZ , OOO, OOO � GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE 54,000,000 � X POLICY � PR� ❑ LOC PRODUCTS•GOMPiOPAGG E4,OOO,OOO � JECT OFFiER: o n A AUTOMOBILELIABILITY eAP 5510032-33 04/Ol/2023 04/Ol/2024 COMBINEpSINGIELIMIT jS,00�,000 � i n X ANYAUTO BODILY INJURY ( Per person) � Z OWNED SCHEDUI.ED gODILYINJURV(PeraccidonA d A JTOS HiREDAU�TOS NON-OWNEb PROPERTV DAMAGE V ONLv AUTOS ONLY Pur accide�t i d � % UMBRELLALIAB X OCCUR XEUG72S14117003 04 Ol 2023 04 Ol 2024 EACHOCCI.RREPfCE lO,�OO,OOO U El(CESSLIAB CtAIMS-MADE SIR dpplie5 per policy ter S� condi ian5 pGGHEGATE 510,000,000 DED X RETENTION 8 WORKERS COhSPENSATIONANO WC 1 20 1 4 X PER STATUTE OTH� EMPLDYERS' LIABILITY Y, N ER ANYPROPRIETOR PnRTNER�CxCCUTrvC ❑ �:.FACHAGCIDENT S1,OOO,OOO OFFiCEWn4pMBER EXCW�ED� N N� A (Mandetory fn NF� E L. DISEA5E�EAEMPLOYEE 51, 000, 000 If yes. destribe untler DESCRIPTION OF OPERATIONS bebw E L DISEASE�POLICYLIMIT El, OOO,OOO ---- � � DESCRIPTION OF OPERATIONS � LOCATIONS � VEHICLES (ACORD 101, Addlllonel Remerkn Schedule, may be attacned if more epece is required) � � � � �� CERTIFICATE HOLDER CANCELLATkON � SHDULO ANY OF THE ABOVE DESCRI6EU POLICIES 9E CANCELLED BEFORE 7NE EXPIRATION DA7E THEREOF, NOTICE WILL BE DELIVERED IN ACCOHDAkCE WITH THE POLICY PROVISIONS. F07't CO� 11 [15 C�ntf dCtOf Li censi ng AUTHOFIZED REPRESENTATIVE P.O. Bax 560 Fort Collins CO 80522 USA �{ �/� /� tYJ'Osa c;%�l:�A�L e/�t4C1eM ��i�G a.! �lG NAIC p 40142 20699 m1988-2015 ACORD COAPORATION. AII righis reserved. ACORD 25 (201fi/63) The ACQRb name and logo are registered marks oi ACORD A`�� CERTIFICATE QF LIABiLITY INSURANCE °AT��M�°°mW' I? Oa'04'2023 7H1S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 7HE CERTIFICATE HOLDER. THIS CERTIFICA7E DOES NOT AFFIRMATlVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORf]ED BY THE POLICIES BElOW. THIS CERTIFIGATE pF INSURANCE DOES IVOT CONSTITUTE A CONTRACT BEFWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESEN7ATIVE OR PRODUCER, AND 7ME CEfi71FICA7E HOLDER. iMPQRTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If � SUBROGA710N IS WAIVED, subject to the terms and conditions oi the policy, cartain poficies may require an endorsement. A statement on this ;' cerlificate does not confer rights to the certificate holder in lieu of such endorsement(s). � PRODl10ER CONTACT d NAME: = Aofl RiSk SerViCeS Centl'dl, In[. � �hi cago IL Offi ce (A-'C. No. Exq: �866) 283-�122 aC No ;(800) 363-Olos � 200 East Randolph E•MAII o ChICdCJO IL 60601 USA AOORESS: � � INSUREO Kellermeyer Ber'gen50n5 SErviCeS, LLC 3605 Ocean aanch Blvd. Suite 200 oceanside CA 92056 u5a INSURER�S) AfFORDING COVERAGE NAIC p INSURERA: ZUr7Ch AllterlCdn IhS CO 16535 INSIlRER B: Artll±f'1 Cdfl ZU I'l Ch IfiS CO 4fl242 tNSURERC: ACE Property & Casualty Insurance Co. 20699 rNsuRER o: INSURER E INSURER F: I COVERAGES CEFiTIFICATE NUMBER: 570d98881977 REVISION NUMBEFi: � THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEfV SSUED Tp TWE INSURED NAMED ABOVE �pA THE PpLICY PERIOD * INOICATED. NOTWITHSTANDING ANY REOUIREMENi, 7ERM OR COND1710N 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 SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested �Yp TYPE OF {NSURANCE INSD WVD POLICY NUMBER MM1D�lYYY M1uVOp�YYYY LIMITS X COMMERCIAL GENERAL LIA81lITY G�d EACH OCCURRENCE SZ , 000, 000 CLAIMS�MADE x�occuA 5500,000 PREMISES Ea occunence MED EXP (Any one persani E1�, �� P£RSONAL & ADV INJURY $2 , 000 , 000 � GEN'LAGGREGATEIIMITAPPLIESPER: GENERALAGGREGA7E E4,000,000 � X POLICY ❑ PR� � LOC PRODUCTS-COMPlOPAGG $4,000,000 � JEGT rn 0 OTHER O A AUTOMOBILE LIABILITY BAP 6510032 33 04i Ol;' 2023 04/Ol/2024 COMBIhEJ SINGIE LIM- $5 , 000, 000 N E i n x ANY AUTO BOOILY INJURY ( Per percon) � Z OW NED SCHEDULED BOOILY INJURY (Per acciAenti Gi AUTOS ON�Y AUiOS IiIREDAUYOS NON�OWNED PROPERTYbAMAGE V ONLY AUTOS ONLV Per accideni :� i a, � X UMBRELLALIAB X OCCUR XEUG7 514117 4 Ol 02 4 Ol 2024 EACH OCCURpEHCE 7.0, OOO, OOO V EXCESSLIAB CLAIMS•MApE SIR applies per policy ter 5& C011dl lOhS AGGREGATE S10,OOQ,000 DED X RETENTION B WOflKERS COMPENSATIONAND WC 1 4 1 x PER STATUTE OTH- EMPLOYER3' LiABILITY y; N ER ANYPROPRIf:70RIPARTNER�EXECUTIVE ❑ E.l.£ACNACCIDENT YZ,OOO,OOO OFFICF.W"MEMBEFEXCIUDED7 N N'A (Mandatory In NFQ E.L. DISEASE•EA EMPLOYEE �1, 000, D00 II yes, describ9 untlar DESGRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT Sl , 000, O00 ---- � � DESCRIPTION OF OPEHATIONS ! LDCATIONS : VEHICLES (ACORD 104, Additfonel Remerk� Schedule, mey be atteChed i1 more 9p8ce IS r6quired) � City of Fort Collins, its officers, agents and employees are in�luded as Additional Insured in accordance with the policy � provisions of the General �iability and ,4utomobile �iability policies. � � � CERTIFICATE HOLDER CANCELLATlON � � $HOt1L� ANY OF THE ABOVE DESCRIBEO POLICIES BE CAHCE�LED BEFORE THE EXPiRATION DATE THEREOP, NOTICE WILL BE DELIVER£0 IN ACCORDANCE WITH THE POLICY PROVI516NS. C'I tY Of FOft CO� � 11/5 AUTHORIZED REPRESENTATIYE � Doug Clapp - Senior Buyer P.O. Sox 580 Fort Collins CO 80522 USA � t�%�_ / J�� i�•.p � i� �ii�C' 4 tJ ACORD 25 (2016/03) �1968-2015 ACQRD CpRPQRATION. Ail rights reserved. The ACORD name and logo are registered marks of ACORD Ac �� CERTIFICATE OF LlA61LITY INSURANCE DATE(�IM�DDfYYYY) `,,,r� 4/5r2o23 THIS CERTlFlCATE IS ISSUED AS A MATTER OF INFQRMATFON ONlLY ANQ CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CEHTIFICATE DOES NOT A�FIRMATIVfiLY OR NEGA7IVELY AMEND, EXTEND pR AL7ER THE CQVERAG£ AFFORDED BY THE pOLICIES SEkOW. THk5 CERTIFICATE OF INSURANCE DOES NOT CONSi17UTE A CONTRACT BETWEEN 7HE ISSUING INSURER(S), AUTHOfiIZED REPRESENTATIVE pA PiiODUCER, ANd THE CERTIFICATE HOLDER. IMPORTAN7: It the certificate holder is an ADDITIONAL IMSURED, the policy(ies} must have ADDITIONAL INSURED provisfans or be endorsed. If SUBROGATION IS WAIVEd, subject to the terms and canditions of the policy, certein policles may require an endarsement. A statement on this certlffcate does not confer N hts to the certlticate holder In Iieu of such endorsement s. PAODUCEA ffAME: Rebecca Leatfierman CR5 insurance Brokerage PH°NE . 303-936-7800 ac N:303-757-7719 9780 S Meridian Blvd 5uite 400 .�Ai� Englewood CO 80112 o�AEss: �leatherman cL?icrsdenver com SN9 URf D Egress, Inc. 2963 W 91st PI Oenver CQ 80260 COVERAGES INBUHER(S} AFPI iNSURER A : �lfllted �IfB C7f0U s�ueco�•oi ��uReRe: Pinnacot Assurante IHSt1REFl C : I�iSURfR D : CER7IFICATE NUMBER: t d25725708 REVISION NUMBER: 13021 A119C 7H(S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 8El.pW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH57ANDING AiVY REQUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENi WiTH RESPECT TO WHICH THIS CERTVFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 9Y THE PpUCIFS DESCRIBED HEREEN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDlT10NS OF S{1CH POLICIES. LIMITS SNOWN MAY HAVE BEEN REDUC�D F3Y PAID CLAIMS. ��R TYpE0FfN5URANCE Ia��I�UY�R POLICYNUMBER M14'uD NYY� MMIDDNYYP V LIMITS � -- - — — -�_. n X COAAMERCIAIGENERALLIA91l.lri Y v 60533062 4JB12Q23 418l2Q24 EACHOc;CURRENCE 51.000,004 CIAIMS-MADE x, OCCUR PREMISES (E� oca,rronce „ E 100,000 MFD EXP (e�n ono rson� E 5,Q00 PERSONAL 8 AOV INJUAY S 1.0OO.OQD '4'�E'Nj'L AGGREGA7E lIM1T APPlIES PER GENERAL AGGREGATE y 2.Q00 OOQ �POLICY X �E� LOC PRODUCTS CDAtPtOP AGG 52.000 004 OTHER i E A AUTON081LEUA8IUTY v Y�60533062 4I612025 4/B/2U24 COMBINeDS�NGIELtMiT y�,000.000 _{Ea_acaclent X ANY AUTQ BODt�Y tNJURY (Per person) b OWNED SCHEDUIE� BODItY IN,iURY (Por aocidenq S AUTOS ONLY AUTOS x HIHEp x NON OWNEO j PROPERTY DAMAGE a AUFOS ONLY AUTOS ONLY j _iPar accedenl � I 5 A X UMBRELLA LlAB x p�CUR Y Y 60533462 418,7029 4l812024 EACH OCCURRENCE S 1.000.000 FJ(CES9 UAB CIPJMS-MADfi A06RE6ATE 5 1.000,000 D[Q X RE'I'ENTIONS � S�� g WORKERSCpMPEN9AT10N � Y� 41Q64'S 7/1l2d22 71112023 IX gTATUTE E�R AHD EMPLOYERS' LfABILf7Y Y f N ' ANVPRpPRIETOWPAR7NER�EXECUTIVE a E.l. EACH ACCIOENI' S 500,000 OFFICER'MEhtBEREXCLUoED? N / A (Menetatory in NH) E L. DISEASE EA EMPLOYEE S 500.000 I1 yes, describe under DESGRiPTION OF OPERATiONS bebw � E.L. DISFJtSE - POLICY �IMIT S 500,000 �� DESCRIFTIOM OF OPERATIONS � LOCAT�ON9 � VEMICLES (ACORO 101, AdOltlon6l R�rnarfca 9CMdul�, mey be ettached fi moro spece ie requtred) SHOULD ANY OF THE A8QVE DESCRIBED POLICfFS BE CANC@LLED BEFORE THE EXPIRATION DA7E THEREOF, NOTICE WILL 8E pELIVERED IN ACCOADANCE WITH THE POLICY PROVISlONS. City of Fort Co{lins 281 N College Avenue Fort Collins CO 80522-0580 ACORD 25 (2016/03) AUTHORIZED fiEPRESENTA7IYE ��`�' .� m 1888-2015 ACOAb COFif'ORATION. All rights reserved. The ACORD name end loga are registered marks of ACORD Y of 3 26 co�ieo� CERTIFICATE OF LIABILITY INSURANCE DATE(MM�OONYYY) �' 4l5/2023 THlS CERTIFICATE IS ISSUED AS A MATTER OF IfVFOAMATION ONLY AND CONFERS NO RIGHTS UP013 THE C�RTIFICATE HOLDER. THIS CEFiTIFICATE aOES N07 AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER TNE COVHRAGE AFFORDEb BY iHE POLICIES BEIOW. THfS CERTIFICATE OF INSURANCE DQES NOT CONSTITUTE A CONTRACT BETW�EN 7WE 1SSUlNG INSUFtER(S), AUTHORiZED REPRESENTATlVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: II the certificate holder Is an A�DITIONAL IIVSURED, the polfcy(ies) must have ADQITIONAL IIJSURED provisions or be endorsed. If SUBROGATION IS WAlVED, subJect to the terms and conditions of the policy, certatn poltcies may require an endorsement. A statement on thls certlQcate doea not confer rlahts to the certifloate hotder ln !!eu ot such endorsement(sl. PAODUCER CRS Insurahce Brokerage 9780 S Meridian Blvd Suite 400 Englewood CO 80112 INSURED BLUECOL•Ot Blue Collar Conshucaon Services, Inc DBA Egress, inc 2963 W 91st PI Denver CO 80260 COVERAGES CERTIFICATE NUiN8ER:3s93�198� �ecca Leatherman 303-996-7800 United Fire Group Pinna�ol Assurance RG: R0: REVISI�N NtiMBER� 7719 41190 TFiIS IS TQ CERTIFY THA7 7ME POLkC1ES OF INSURANCE LISTED BELOW 1iAVE $EEN 15S11ED TO THE INSURED NAMED ABOVE FOR THE POLiCY PERIOD INDICATED. NOTWITHSTANDING ANY REdUIflEMENT, 7ERM OR CONPITION OF ANY CONTRACT OR 07HER DOCUM�NT WITH RESPECT TO WH1CH THI5 CERTEFICATE MAY BE ISSUED OR MAY PERTAIN, THE 1NSURANCE AFFORDE� BY tHE POLkCIES D£SCRIBED HERE�N IS SUBJECT TO ALL THE TEAMS, EXCLUSIONS AND CONDITIOtJS OF SUCH POLICIES. UM1TS SHOWN MAY HAVE BEEN ftEDUGEp BY PAId CLAIMS. �LTR TYOE OF INSURANCE -�A�OL $U�R �'i POLICY EFF Pp41CY EXP j��' i I POUCYNUMBER T ! MMrDD1YYY INMlOQNYYY I L�IATS A X'COMMERCIALQENERALLIABIUTV 60533062 416/2Q23 4!$12024 �EaCHOCCURRENCE 51.000000 bAF,�A�E'fti�iEATE CLAiMS�MADE � x_° OCCUR PREtiuSES {Ea.ocarrenca S 100,000 __ ___ I MED EXP fAny o�t person} I S 5,000 PERSOYA� 6 ADV INJURY S 1.000 000 GEN'l. A(3GqEGA7E LIMIT APPLIES PER. GENERAL AGOREGAi E S z,000.000 POLlCY 1__X� JEC�T ; LOC � PRODUCSS COMP;OP A�G s 2 000.000 OTHER: I 5 A AUTOM08lLEUABiUTY 60533462 41E/2Q23 4f8/2024 COMBINEOSINGLE LIMI? y �,OU0,000 tF�e ecc�dgnl1 X ANY A{.fTO BODILY INJURY (Per person} y OWNED SCHEpULEf. I �BODILY IN,fURY iPer acc+dontl S AUTOS ONLY AUTOS x AU OS ONLY x A O�S ONI,� I � e�acc±d nDAMAGE § S A X UNHRELLALIAB X p�CUR 60533462 418/?.Q23 4J8/2024 ��pCt�OGCURRFNCE 51,000.000 EXCE59 UAB C�MS MAO= A6�RpGATE S 1.000.000 DCO X RETENTION E S B WORKEASCOI+�PHN3ATION 4106a'6 i 7/1l2022 711/2023 X OT • AHD EMPLOYERS' LIABILITY STATUTE ER ANvppOPRIETOPoPAR7N£R/EXECUTIVc Y� N� A i E.L. �ACH ACCIOENT t SO0,000 OFFICEFi?A E MBEH BXCIUDE D� (Mendatoty In NH) I E.l, DISEASE EA EMPLOYEE� S 500.ODU II yes, doscnba vrxler f DESCRIPTION OF OPERATIONS below � E.L DISEASE - POLICY �1MIT S 500.000 DESCRIP710N OF OPERATiONS / LOCATIOH$ � VEHICLES (ACORD 101, Atiditionsl Remerke Sch�dule, mey M ettacfwd if more spece i� requtred) SHOULp ANY OF FHE ABOVE DESCRiBED POLICIE3 BE CANCELLED BEFOflE THE EXPIRATION OATE TH�REOF, NOTICE WILL BE DEt1YERED IN ACCORDANCf WfTH TFIE POLICY PROVISiONS. City of Fort Collins 281 N ColEege Avenus Fort Collins CO 80522-0580 ACORQ 25 (2QtW03} m 1988-2d15 ACORD CORPORATION. A!I rights reserved. The ACORD name end fogo are registered merks of ACORQ AUTHORIZED REPHESENTATIYE j��,,,.,� .�.�ot � 3'of3 26 A�!�D� CERTIFICATE OF LIABILlTY INSURANCE DAT�(S/ZOi3YYY) THiS CERTIFICATE IS tSSUED AS A MATIER OF INFORMATION ONLY ANd CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THfS CERTIFlCATE DOES 1+10T AFFfRMA71VELY OR NEGATIVELY AMEND, EX'T'ENb OR ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOW. THIS CERTIFICATE OF IN5URANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 7HE ISSUING INSURER(S), AUTHORIZED RSPRESENTATIVE OR PRODUCER, ANO THE CER7EFICATE HQLDER. IMPORTANT: If the certificeie hotder Is an ADDfTl4NAL INSURED, the policy(les} must have ADQITIONAL INSURED provisions or be endorsed. If SUBRbGATION IS WAIVED, sub{ect to the terms and cond(tiona of the policy, certeln poflcles may requlre an endorsement. A siatement on this certiticate does not confer r! hts to the certlflcate holder in Ileu of such endorsement sj. PROPUCER NAME; K2U8 SR10ti18f5 CRS knsurance Brokerage �ON� . 303-996-7800 ac No;303-757-7719 9780 S Meridian Blvd Suite 400 �Qi� Englewood CO 80112 o ss:_ ksmothers�crsdenver com IN9URE0 Dietzler Canstruction Corp Albin Carison 8 Company 900 Gateway Circle 6erthoud C� 80513 _ _ INSUHER(S; AFFOROING COYERA6E fitSUR£R A: i�3Vl ators Insurance Co. DiETZ i��UREfl e: Pinnacol Assurance ussuaefl c: Landmark Amencan Insurance Co IttsuRSAo: Crum 8� Forste� Insurance insuREr� e_ Employers Mutual Casualiy Co NAiC p 41180 33138 a2a�� 21415 COVERAGES CERTIFICATE NUMBER: 21685619 REVISION NUMBER: THIS IS TO GERTfFY THAT THE POLICIES O� 1NSURANCE LISTEQ BELOW HAVE 6EEN ISSUEO TO TNE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO. NOT�NITHSTANDING ANY REDUIREMENT, 7ERM OA CONDfTION OF ANY CONTRACi" OR OTHER DOCUMEN7 WITH RESPECT TO WHlCH THIS CERTIFICATE MAY BE ISSUEO pR MAY PERTAIN, THE INSURANCE AFFORDED BY FHE POLICIES DESCAIBED HEREIN I5 SUB,fECT TO ALL THE TERMS. EXCLUSIONS AtVD CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAIO CLAIMS. tN9R Idbpl'SUBii �' POLICY EFF j POLIC V EXp LTR TYPE OF INSURANCE � I yyy � POUCY NUMBER (�tA�t��D1YYY I MMlDplYVY u�Tg C X COAIMERCIALGENERALLIAB{LfTY LHA173837 411/2023 4l1f2024 Eq�HOCCUFREYCE 51000,OOU �TS�iE}7T€��' _ � CI AIMS-MADE I X QCCUR � PREMISES {Ea oca,r_r�_nca} S 50,OO:i _ MED E%P �Any one porson� t S,OQO x 5M' E� Stop Ga,:. _ I PERSONAL 8 AOV iNJURY S 1 OOO,OQO GEN'L AGaREG�ATE LIMI7 APPLIES PEH. GENERAL AGGREGATE S 2 0�0,060 POLICY n I JE � LOC �— PAOpUC7S COMP�OP AGG S 2 900,000 07HER Sro Ga liaMi� S 500 0�10 E AUTOMOB�LELIABIU7Y 6X19227 4I112023 411/2Q2q �,�BiNED S�NGLE tIM1T S 7 000 OQO � {ta ecadOnlj ANY AUTO gpDILY IWURY {Per peBon} � OWNED $CHE�ULEO X BODILY INJURY {Per amdenl) S �ViOS ONLY AVTOS X HIHED x NONOWNED PfiOPEF;TYDAMAGE � AU705 ONLY AUTOS ONIY .�Pei acCidrn� I I s A uMeR£LuiLIA9 x p�UR GA23EXC83B5211C 4/1/2p23 4I1I202A � EACHOCCURRENCE 34000,OQ0 X EXCE98 UAB CWMS MAOE AppREGATE 54 000,000 DED X RETENTfpNE b g wORKERSCO�APEN51�710N 4172398 A!1l2023 4/1/2024 X Al3D EMPLOYERS' LIABILifY Y� N STATUTE EFi lWYPfiOPRIETORIPARTNEREXEGU7IVE p.�, �ACH ACCIDENT S 1 OQO,OOO OFFICER�MEMBEREXCLUDED? � N' A 1 "``—�' (Msntlatory In NM� I E.L DISEASE EA EMPLOYEE S 1,000,000 II yos,descntw �nder DESCRIPTION OF OPERqTI NS bebw E.6. 07SEASE � POLICY LlMI7 S 1 000,060 0 PolluLonLfabiliry i GPL114880 4/7l2p23 4/1I2024 !OczurrencelAgp�epate 2000006f2000000 E Leasad and Rented Eqwpment 6X 19227 417l2023 41112024 I U� ! DeducUbla 500.000 / 5,000 E Instatlabon Flaater 6X19227 41112023 4l112024 �obseNCatastrophe 1000000I1000000 � I DESCRIPTION OF OPERATION3 r LOCATIUN$ � V£NICLE9 (ACORD 101, AdeltEonal RemaAa 9chtduk, mey he atlached f� more space is raqulrPd) City o( Fort Collins is inc�uded as addiUonal insured on the Genaral Liablliry with respect to ongo�ng operations of the named insured for the cerOBcate holder as required by written contract TE SHOULD ANY OFTHE ABOVE DESCRIBEO POUCIES BE CANCELLEp BEFORE THE EXPIRATION DAl'E TMEREOF, NOTICE WILL $E DELIVERED IN Cl� Of FO1'f C0117I15 ACCORDANCE W1TH 7kE POLICY PROYISIONS. Attn: Engineering Department 281 N College Avenue AUTHORlZEdREPRESENTATIVE Fort Collins CO 80524 i m 1988-2015 AGOfiD CORPORATION. All rights reserved. ACORD 25 (2016/03� The ACORD name end logo are reglstered marks at ACORD r a� z so �� pATE(MM/ODlYYYY) A� a CERTIFICATE QF LfABILITY INSURANCE 0410712023 THIS CERTIFICATE IS ISSUED AS A MA77�Fi OF INFORMATION ONLY AND CONFERS NO RIGHTS UPQN THE CERTIFICATE HOLDER. THIS CERTI�ICATE QQES NOT AFFiRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALFER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFECATE OF INSURANCE DOES NOi CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORI2ED REPRESENTATIVE QR PRODUCER, AND THE CERTIFICATE H�LOER. IMPORTANT: It lhe certiticate holder is an ADOITIONAL iNSURED, the policy(ies) must have ADDITIONAL INSURED provisfons or be endorsed. If � SUBROGATION IS WAIVEQ, subject to the terms and conditions of the poticy, certain policies may require en endorsement. A statement on this °� � certiticate does not confer rights to the certificate holder in lieu of such endorsement(s). � corrracr PRODUCER � NAME: AOn Ri5k Servlce5 Central, InC. (866) 263-7122 F'� (B00) 363-0105 `y Ch7CdJ0 II_ OfflCe (NC.ko.Exq: NC.No.: .a 200 East Randolph E•MAIL p C�I1CdJ0 IL 60601 usn ADDRESS: _ ��•,. INSURED Cogent, Inc. 4525 rvw 41st St Suite 400 Riverside nto 64150 USA COVERAGES CERTIFICATE NUMBER: 5 INSURER(S) AFFORDING COVERAGE INSURflRA: ZUCICfI ARl@f1Cdf1 If15 CO iNsuReas: American Zurich zns Co iNsuAeA c: Travelers vroperty Cas Co 01 INSURER D: INSURER E: INSURER F; NAIC p 16535 40142 ca 25674 � THIS IS TO CERTiFY THAT THE POLICIES OF INSURANCE LIS7ED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD ** INDICATED. NOTWITHSTANpING ANY REQUIREMENT, TERM OR CONOITION OF ANY CONTRAGT OR OTHER OOCUMENT WITH RESPECT TO WHICH 7HIS GERTiFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRI8EQ HEREIN IS SU8.JECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWfJ MAY HAVE 8EEN REDUCED BY PAID CLAIMS. Limfls shown are es requested LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER µA1rDD�YYY MbVDD�YYY LIMITS X COMMERCIA� GENERAL LIABILfTY �� EACH OCCURRENCE S2 , OOO, 000 CLAIMS-MaOE aX QCCUR PREMISES EaoccurrBnce ESOO,OOO MED EXP �Any one person) S lO , OOO PERSONAl8A0VINJURY Sz,OQO,OOO N GEN'LAGGREGATEl1MITAPPLIESPER� GENERALAGGR�GAT� SA,OOO�OOO R X POUCY � �E � � LOC PRODUCTS • COMP/OP AGG S4 . OOO, OOO � OTHER: o A AUTOMOBILE LIABILI7Y BAP lObQ783-06 04/Ql/2023 04/Ol/2Q24 COMBINED SINGLE LIMkT � � � $2,000,000 x ANYAUTO BCDILY INJt1RY ( Per parson' Z OWNEO SCHEqULED BCDILY INJURY (Per a[cidenl; a! AU70S ONLY AUTOS HiREDAUTOS NON�OWNED PHOPERTYDANL4GE ONLV AUFOS ONLY Por aaldent SC t' 0! � X UMBRELLALIAB X p�CVR CUPZT1Ia 4 jNF 04 Ol OZ3 04 1 Z6Z4 EAl::HOCCURFENGE 1�,��0,��0 V EX FO1�OW FOr'm & Umbrella qG„qEGA'E i10,000,000 EXCESS LIA9 CLAIM$•FMDE DED RETENTION 8 WORKERSCOMPENSATIONAND WC 7 S 4 1 4 x PERSIA(JIE OTH- EMPLOYERS' LIABILITY Y! N ANYPNOPit1ETOR vnRTNER�FXF':unvF ❑ E.LEACHACLIDENT �1,000,000 OFFICEWMEMBEREXCLUDEII'7 N N;A (Mandalory in NFi) E.L. DISEASE EAEMPLOYEE 41, 000, 000 H yes, descnbe under DESCRIPTION OF OPERATIONS baow E.L. DISEASE P(1LICY LIMIT E1, ODO, OOO — � � DESCRIPTION OF QPERATIONS � LOCATIONS � V£HICLES (ACOHD 101, Additionel Remerke Schedule, may be ettacbed U mora space is required} �� City of Fort Collins is included as ndditional Insured in accordance with the policy provisions of the General �iability and � automobile Liability policies. � � � � CERTIFICATE HQLDER CANCELLATION � SHOULD ANY OF TME ABOVE OESCRIBED POLiC1ES BE CANCELLED BEFORE TNE EXPIRATION OATE THEREOF, NOTICE WILL BE 6ELIVERED IN ACCORDMlCE WIFH THE POLICV PROV�SIONS. Clty Of FOf'L CO111f15 AUTHOR�ZEOREPAESENTA�IVE PO BOx 2047 FOrt collins CO 80522 USA I ci�� !_�� `�a�� n % C.,l� e�o�s eJ m1988-2015 ACORD CORPORA710N. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AZTEC 4NSURANCE i4fi2 S FEDERAL BIVD DENVER, CO 80219 6201�3 7153 1 A$ 0.507 PPAC504I 021 0�7153 City of Ft Colli�s Purchasing qivision P 0 BOX 580 Ff COLLiNS, CO 80522 ��ili��I�I�Iilr��lilrli��i�iill�i�li��I�iil�t�nn,i��E�ili,�� Additional insured endorsement Narne of Person or Organizatian City of Ft Collins Purchasing Division P 0 Bax 580 Ft Collins, CQ 84522 P190GHE11/Uf " GOMMERGsJL Policy number: 95825b946 Underwritten by Amsan and Truckers Casualty Co insured SOUTHWESTERN PAINTING & DECO Apnl 10, 2023 Pol�ry Penod May 19, 2022 - May 19 2C23 Mailing Address ARisan and Trucker� �asua:ty �:_a PO Box 94739 Cleveland. OH A41L't 1-800-444-4487 For customer sero .e, 24 hc,ur� a day, 7 days a week This endorsement modifies insu�ance provided under the commercial auto policy and any endoisements thereto a#fording liability coverage. The person or organization named above is an insured with respec� to such liability coverage as is allorded by the policy, but this insuiance applies to said insured only as a peoson liable {or the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifitally desaibed on the Declarations Page and showing liability coverage. limit of Liability Bodily Injury Property Damage Combined Liability Not applicabie Not applicabEe $1,000,000 each accident All other terms, limits and provisions of this palicy remain unchanged. This endorsement applies to Policy Number; 958256946 Issuetl to jName o1 Insured): SOUTHWESTERN PAINTING &€}ECO Effective daFe oi endorsement: Apri! 7, 20Z3 Policy expiration date: May 19, 2023 Porm I 148 (0' 61 ► ��tay �� CERTtFICATE OF LIABiLITY INSURANCE DATE(MM/OO/YYW) ACORL7 oaioi,2o2s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTiFICATE HOLDEfT. THIS CERTIFICA7E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELpW. TH1S CERTIflCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If !he certificate holder is an ADDITIONAL INSURED, ihe policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. it SUBROGATION iS WAIVED, subject to the terms and condilions af ihe policy, cartain policies may requfre an endorsement. A statement on this cartificate does not confer rights to the certiflcate holder fn lieu of such endorsement(s). PRODUCER CONTACT Aon Risk ServiCeS C2ntrdl, I11C. NAME: ChiC3go IL office �NC.No.Ext): �866) 283-7122 �C No ;(800) 363-0105 200 East Randolph e-Ma� Ch7CdJ0 ZL G0601 USA ADDRESS: Cogent, Inc, Automatic Engineering, �luid Equipment, LLC, BRI, Catalyst, Liberty FaCility, LLC, IME SOlutiOnS, L2e M8th2w5, VdnCO, vandevanter Enginepring, Water Technoloc�y Group ASZS NW 41st St JF400 aiverszde MO 6A150 uSa COVERAGES CERTIFICATE NUMBEH: 57 INSURER(S) AFFORDING COVERAGE NAIC p INSURERA: ZUf'1[h tuner�can Ins Co 16535 nasuqeR e: nmerican zurich ins Co 40142 uisuAER c: Travelers vroperty Cas Co of a,merica Z5674 INSURER D: INSURER E: INSURER F: � THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABQVE FOR 7HE POLICY PER100 INDICATED. NQTWITHS7ANDING ANY REQUIREMENT, TERM dR CONpITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTI�ICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDI710NS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA1D CLAIMS, l,imits shown are as requested �jp TYPE OF INSURANCE ��p yryp POLICY NUMBER MM1�DIYYYY MMrQQ!YYY LIMITS X COMMERCIALGENERALLIABILITY GLO EACHOCCURRENCE SZ,OOO,OOO CLAIMS•MADE aOCCUR PREMISES Eaotcurrence 4500,000 MED EXP (Any one perso�) 410 , 600 PERSOHAL&ADVINJURY EZ,OOO,OOO � GEN'LAGGREGATELIMiTRpPLIESPER: GENERALAGGREGATF 14,000,000 N X POLICY ❑ �E � � LOC PROOUCTS - COMPlOP AGG S4 , OOO , OOO � 0 OTHER: n A BAP 1060763-06 �4/OIf20Z3 04/�1/2d24 COMBINEDSINGLELIMIT � AUTOMOBILE LIABI LRY S Z, OOO , OOO in .. x ANY AUTO BOOILY INJURY � Per per5on) � z OWNEO SCHEDUIED BODILY INJURY (Per acciaenq Er AUTOS ONLY AUTOS HIREDAUTOS NON•OWNED PROPERTYOAMAGE V ONLY AUTpS ONLY Per accidenl — r W � X U#ABRELLALIAB x OCCUR CUP2T17 4 NF 4 1 20 4 O1 0 4 EACHOCCURREnfCE 510,000,000 V EX FO�ZOW Form & Umbrella AGGREGATE �1�,��,�� EXCESS LIAB CLAIMS•bW�E DEO RETENTION 8 WORKERS COMPENSATION AND WC 1 4 1 4 4 X PER STATUTE OTH- EMPLOYERS' LIABILITY y� N R ANY PROPRIETORI PARTNEA EXECUTIVE � E.L. EACH ACCIDENT SZ � OOO � OOO OFFICE WMEM�ER E%CLUDED? N N� A (Mendetory in MH) E.l. QISEASE-EA EMPL01'EE 31, 000 , 000 I� y95, tlBSCfibe undB� OESCRIPTION OF OPERATIONS below E.l. D�,SEASE-POLICY L1MIT 31, 000, OQO — � � �ESCRIPTION OF OPERATIONS! LOCATIOHS r VEHICLES (ACOR0101, Addltional Remarka Schedule, may be anached II more epace ie requfred) � The City ot Fort Collins are included as additional xnsured in accordance with the policy provisions of the General Liability and automobile Liability policies. � � �� CERTIFICATE HOLDER CANCELLATION � $H�ULD ANV OF TNE A@OVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE � EXPIRATION DASE 7MEREOF, NOTICE WILL BE DELIYERED IN ACCOfiDAkCE LYITH THE � POLICY CROVISIONS. TI72 Clty OF FOI't CO��Il15 AUTH6RIZEDREPRESENTATIVE Purchasing bepartment Po eox S80 � ii/��, �s�� Fort coilins co 80522 usA �_ /l �asc z m a d c � 'O d ro 0 2 m1988-2015 ACORD CORPOFiATION. All r(ghts reserved. ACORD 25 (2016103} The ACORD name and logo are registered marks of ACORD �� ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE�MMVDDlYYYY) �� an�2oza 03/09/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TNIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATlV�LY AMEND, EXTENp OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S�, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerUficate holder is an ADDRIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provislona or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditfons of the policy, certai� policies may requlre an endorsement. A statement on this certificate doea not con(er rights to the Certificate holder in Ifeu of suCh endorsemeni�s�. PRODUCER Lockton Companies 8110 E. Union Avenue PHONE Suite 700 E-MAIL Denver CO 80237 (303) 414-6000 INSURER 5 AFFORDfNG COVERAGE NAIC 0 iHsupeR A: Zurich American Insurance Com an 16535 INSURED phase 2 Company INSURER B: PII1fi8COI ASSUfaf1C8 CORI an 4119Q 41 1041 216 Fiemfock St. iNsuRea c: Amencan Guarantee and Liab. Ins. Co. 26247 Fo�t Col�ins, Co 80522 iNsuRea o: Nautdus Insurance Com an 17370 1NSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 13973969 REVISION NUMBER: XXXXXXX THIS {S TO CERTIFY TFiAT THE PO�ICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUEO TO THE INSUREO NAMEO A$OVE FOR THE POLICY PERIOD INDICATED. NOTVNTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHEft DOCUMENT WITH RESPECT TO WHICH THIS CER7IFICA7E MAY BE ISSUED OR MAY PERTAIN, THE INSUftANCE AFFORDED BY TiiE POLICIES DESCRIBED HEREIN IS SUBJECT TO A N ITI N F I I Y V N R Y PA IM INSR UDL SUB POLICY EFF POLICY E%P LTR TYPE OF INSUAANCE INSD WVD POLICY NUMBER MNVDDIYYYY MMfUDNYYY LIMITS �( COMMERCIAI GEt�tERAI LIABiLITY - � 7 - 4 � 4 EqCH OCGURRENCE E 2 QOO OOO CLAIMS-MADE � OCCUR S'I OO OOO Y Y MED EXP M one erson E � rJ �Dd PERSONAL & ADV INJURY s 2 OOO OOO GEN'L AGGREGATE LiMIT RPPLIES PER G£NERAI AGGREGATE S 4 O O OQO POLtCY� �ECT a �� PRODUCTS - COMPIpP AGG S 4 OOO OOO OiHER E A AUTOMOBILE LIABILITY BAP-6710789-02 �4/0�/202 04/01l202 Ea e6cc CeD'SINGLE LIMIT 5,� ooOLOaO X ANY AUTO 80DILY INJURY (PBr pBr50n) S XXXXXXX OWNED SCHEDULED Y Y BO�ILY INJURY (Per acutlenp 5 XXXXXXX AUTOS ONLY AUTOS R AUTOS ONLY A�TOS ONL�Y PPer�daRitlTBnt AMAGE E XXXXXXX SXXXXXXX C X UMBRELiALIA6 X OCCUR AUC-Fi�j�S348-Oz O4/O1/2O2 O4IO�I2O2 EACHOCCURRENCE 55000,000 EICCESS LIAB CLAIMS•MADE Y N AGGREGATE E 5 OOO OOO DED RETENTION 5 E WORKERS COMPENSATIOM X - g ANO EMPLOYERS' LIA9ILITY Y! N 2203950 Q4/O1/2OZ O41O1 I2O2 ANY PROPRIE�ORiPARTNER/E%ECUTIVE N f A �/ E.L EACH ACCIOENT S 5OO OOO OFFICER/MEMBER E1cCLUDED� a I (Mandelory in NH) E.L. DISEASE • EA EMPLOVEE S rJOO OOO �DESCRiP7i0 O'PERAilONSDeIow E L. DISEAS£ - POLIGV LIMIT a rJOO.00O fl Professional/Pollution l.iab. CPP 2039965-10 Q4/01/202 041011202 Each ClaimlOcc Limit: $2,000.000 N � Poficy Aggregate Limii: $2,QQ0.000 DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 701, Atlditlonal R�marks Schedufa, mxy De aMachetl if more apaca is requlrad} City W Fort Cdhns is irxJuAgO as AtlOitional Insured on Ihe General, Automobile, and Excess Liabihiy Pdiaes A requ:red by wnilen conlract or agreemen! and with respect to work performed by Inwred suD�eG to the po6cy lerms and contldians A Waiver ol Subrogation is provided in favor oi Gty ol Fort Cdlins on the General Autamobile Liadlity and Workars Compansa�on PoUdas il requireA by wnnen contracl or agreemenl and wilh respect to wark peRormed by Insuretl wqeu lo the polity terms end con0i6ons CER7IFICAT£ WOLDER CANCELLATION ee ttaC men s SHOULD APlY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEi2ED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13973969 AU7TiORIZED REPRES£NTATIVE City of Fort Coklins Arin 6uilding Services 281 Nor1h Colleqe Avenue Fort Collins CO 80524 �ii-y'� �' ; f�� -r� „` f,. Y % y� � f � � . ng ts reserve ACQRD 25 (2016l03) The ACORD name and logo are registered marks of ACpRD