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Home My WebLink AboutTCC CORPORATION - INSURANCE CERTIFICATEDATE (MMIDOlYYYY) A�C�O!zo� CERTIFICATE OF LIABILITY INSURANCE 9/19/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORfNA710N ONLY ANO CONFERS NO RiGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVE�Y AMkEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TfiE ISSUiNG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: Ii the ce�titicate halder is an ADDITIONAL INSURED, the policy(lesj must be entlorsed. If SUBROGATION IS WAIVEd, subject to the terms and conditions of the policy, certain policies may require an e�dorsement. A statement on this certiflcate does not confer rights to the certificate holder In lieu of such endorsement(s). PROOUCER NAME: R2I1E2 MCRB�7ilO1CtS Ewing-Leavitt Insurance Agency, Inc. PHON� (976) 679-7346 ac wo: �ece��2s-sxec 4090 Clydesdale Parkway ADORess:renee-mcreynolds@leavitt.com SU1tE 101 INSURERS AFFOROING COYERAGE NAICp Loveland CO 80538 iHsuaeRA:Selective Insurance Co an of America 012572 IMSURED INSURERB:P�IfR8C01 Assurance 41190 TCC Corporation INSURER C : b09 Gryfalcon Court Unit D INSURERD: INSURER E : idindsor CO 80550 INSUfiER F: COVERAGES CERTIFICATE NUMBER:23-24 REVISION NUARBER: THIS !S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREb NAMED ABOVE FOR THE POLICY PERIOC INDICATED NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTNER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER7AIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS ANd CONDITIONS OF SUCH POLICIES. LIMITS SHOVtRJ MAY HAVE BEEN REDUCED BY PRID CLAIMS. HSR TypE OF tNSURANCE A�pL SUBR POLICY EFF POLICY E%P LIMITS LTR POLICYNUM6ER MMlDOlYYYY MlAlDD1YYYV X COMMERCWLGENEfiALLIABIU7v EACHOCCUPRENCE S A CLAIMS•MAUE X❑ i?::::..R A PREMISES Ea occurrence S X Hlkt Addl InnurQds 52325<90 5/1/2023 5/1/202Y MED EXP (Any one pei50n) S X Blkt Flaivar of Subrogation PERSONnI & ADv �N,IURY S GEN'LAGGREGATEIIMITAPPLIESPER: GENERALAGGREGATE S POUCY � PR� D LOC PRODUCTS-COMPlOAAGG S JECT OTHER s AVTOMO$ILE LIABIUTY EOMBiN�ED S�NGLE IiMIT S A A ANYAUTO ALLpWNED SCHEDULED AUTOS AUTOS x NON-0WNED HIREDAUTOS qUTOS Biklpddllnsureds X BIktV40S UMBRELLA LIAB X pCCUR EXCESS LIAB �i viuc.0 WORKERSCOMPENSATION AND EMPLOYERS' LIABiLITY Y 1 N ANY PROPRIEfORlPAR7NERIEXECUTIVE � B OFFICER/MEMBEREXCWDE07 (Mandatory fn NH) If yes, describe undef �ESCRIPTlON OF OPERATIONS below A �Contractors' Equipment 52325s90 Follow Forw 52325690 Incl Blankat Naivar of Subrogetion NIA 6021079 52325490 5/1/2D23 I 5/1/2024 5/1/2023 � 5/1/2026 a aw ent BOOILY INJURY (Per person) S BObILY INJURY (Per acutlent) S PROPERTY DAMAGE S Per acddent 5 EACH OCCURRENCE IS S E.L EACH ACGDENT S 7/1/2022 7/1/2023 E.L bISEASE • EA EMPLOYEE S 5/1/2023 5/1/2024 l8ase�RanladEqu�pmenl Limt f250 OQD DESCRIPTION OF OPERATSONS 1 LOGATION51 VEHICLES (ACORD 107, AddYUo�at Rema�ks Schadule, may be attachod if mora space is requirad) Certificate holder is named as additional insured. CERTIFtCATE HOLDER CANCEILATION 1,000,0 500,0 15,0 1,000,0 3,060,0 3,000,0 1,000,0 2,000�0 2,000,0 500.0 City of Eort Collins Building S Zoninq Dept P O 8ox 580 Fort Collins, CO 80522 SHOULQ ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCURDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE � R McReynolds/-�STEI �•�.nw �J O 1988-2014 ACORD GORPORATION. All rights reservE ACORD 25 (2014101 j The ACQRD name and logo are registered marks of ACORD INS025 �2oiaot)