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HomeMy WebLinkAboutHall Irwin Corporation - Insurance Certificate 2024 ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 12/31/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Katie Smothers CRS Insurance Brokerage PHONE FAX 9780 S Meridian Blvd Suite 400 A/c No E : 303-996-7800 (A/C,No:303-757-7719 Englewood CO 80112 E-MAILADDRESS: ksmothers@crsdenver.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Westfield Insurance 24112 INSURED HALIR-1 INSURERB: PlnnacolAssurance 41190 Hall-Irwin Corporation 5586 W 19th St., Suite 2000 INSURER C:United Specialty Insurance Co 12537 Greeley CO 80634 INSURERD: INSURER E r INSURER F: COVERAGES CERTIFICATE NUMBER:565312808 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LTR MMIDD//YYYY MMIDD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY Y ATN241010193 12/31/2024 12/31/2025 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X . OCCUR PREMISES Ea occurrence $50,000 MED EXP(Any one person) $5,000 X WY EL Stop Gap PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: I Stop Gap Liability $1,000,000 A AUTOMOBILE LIABILITY Y CWP7976721 12/31/2024 12/31/2025 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C UMBRELLA LIAB X OCCUR BTN24102380 12/31/2024 12/31/2025 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION$n $ B WORKERS COMPENSATION 4021105 1/1/2025 1/1/2026 X STATUTE OERH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? N I N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Leased and Rented Equipment CWP7976721 12/31/2024 12/31/2025 Limit 1,000,000 Special Form/ACV/100%Coinsurance Deductible 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Fort Collins is included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P. O Box 580 Fort Collins CO 80522 AUT HORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WESTr-IFjL1) vv $M L:l SERIES BUSINESS AUTO ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE The coverage provided by this endorsement is summarized below and is intended to provide a general coverage description only. For the details affecting each coverage, please refer to the terms and condi- tions in this endorsement. A. Who Is An Insured broadened: • Additional Insured by Contract, Agreement or Permit • Legally Incorporated Subsidiaries • Newly Acquired Organizations B. Supplementary Payments • Bail Bonds - $5000 • Loss of Earnings - $500 C. Fellow Employee Exclusion Amendment D. Coverage Extensions • Transportation Expenses • Personal Effects (Excess Basis) E. Additional Coverages • Expenses paid for returning a stolen covered auto • Fire Department Service Charge F. Airbag Coverage - Accidental Discharge G. Glass Repair- Waiver of Deductible H. Knowledge and Notice of an Accident, Claim or Suit I. Unintentional Failure To Disclose Hazards J. Worldwide Coverage K. Definitions • Bodily Injury Redefined In addition to the policy amendments contained in A. through K. listed above, the endorsements listed below will automatically be attached to your policy to complete the coverage provided by the Signature Series Business Auto Endorsement: • Audio, Visual and Data Electronic Equipment Coverage Added Limits - CA 99 60 • Auto Loan/Lease Gap Coverage - CA 20 71 • Drive Other Car Coverage - Broadened Coverage For Named Individuals - (Executive Officers/Spouses) - CA 99 10 • Employee Hired Autos - CA 20 54 • Employees As Insureds - CA 99 33 • Hired Auto Physical Damage (Refer to Auto Declarations page) • Rental Reimbursement Coverage - CA 99 23 • Waiver of Transfer of Rights of Recovery (Waiver of Subrogation) - CA 04 44 A. WHO IS AN INSURED BROADENED 50% of the voting stock on the ef- SECTION II - COVERED AUTOS LIABILITY fective date of this endorsement. COVERAGE, item A. Coverage, 1. Who Is An However, "insured" does not include Insured is amended to include the following any subsidiary that is an "insured" additional paragraphs: under any other liability policy or would be an "insured" under such a d. Any legally incorporated subsidiary policy but for its termination or the of yours in which you own more than exhaustion of its limit of insurance. CA 70 77 10 13 Page 1 of 3 Coverage under this provision is af- C. FELLOW EMPLOYEE EXCLUSION AMEND- forded only for the first 180 days af- MENT ter you acquire or form the SECTION II - COVERED AUTOS LIABILITY organization or until the end of the COVERAGE, item B. Exclusions, 5. Fellow policy period, whichever comes first. Employee does not apply if the "bodily injury" results from the use of a covered "auto" you e. Any organization you newly acquire own or hire. or form, other than a partnership or joint venture, and over which you D. COVERAGE EXTENSIONS maintain ownership or a majority in- SECTION III - PHYSICAL DAMAGE COVER- terest. However, coverage under AGE, Item A. Coverage, 4. Coverage Exten- this provision: sions, a. Transportation Expenses is replaced (1) Does not apply if the organiza- with the following: tion you acquire or form is an a. Transportation Expenses "insured" under another auto li- ability policy or would be "in- We will pay up to $100 per day to a sured" under such a policy but maximum of $1,800 for transporta- for its termination or the ex- tion expense incurred by you be- cause of the total theft of a covered "auto" of the private passenger type. ance; We will pay only for those covered (2) Does not apply to "bodily injury" "autos" for which you carry either or "property damage" that oc- Comprehensive or Specified Causes curred before you acquired or of Loss Coverage. We will pay for formed the organization; and transportation expenses incurred during the period beginning 48 hours (3) Is afforded only for the first 180 after the theft and ending, regardless days after you acquire or form of the policy's expiration, when the the organization or until the end covered "auto" is returned to use or of the policy period, whichever we pay for its "loss". comes first. The following is added to Item 4. Cover- age Extensions: f. Any person or organization with whom you agreed in writing in a c. Personal Effects contract, agreement or permit, to We will pay up to $500 for the "loss" provide insurance such as is af- of your personal effects that are forded under this policy. contained in a covered "auto" due to This provision only applies if the the total theft of the covered "auto." written contract or agreement has We will pay only for those personal been executed or permit has been effects that are contained in covered issued, prior to the "bodily injury" or "autos" for which you carry either Comprehensive or Specified Causes "property damage". Of Loss Coverage. B. SUPPLEMENTAL PAYMENTS Our payment for "loss" of or damage SECTION II - COVERED AUTOS LIABILITY to personal effects will apply only on an excess basis over other collect- COVERAGE, item A. Coverage, 2. Coverage ible insurance. Extensions, a. Supplementary Payments, sub- paragraphs (2) and (4) are deleted and re- E. ADDITIONAL COVERAGES placed with the following: SECTION III - PHYSICAL DAMAGE COVER- (2) Up to $5,000 for cost of bail AGE, A. Coverage, is amended to include the bonds (including bonds for re- following additional coverage items: lated traffic law violations) re- 5. We will pay the expense of returning a quired because of an "accident" stolen covered "auto"to you. we cover. We do not have to furnish these bonds. 6. Fire Department Service Charge When a fire department is called to save (4) All reasonable expenses in- or protect a covered "auto", its equip- curred by the "insured" at our ment, its contents or occupants from a request, including actual loss of Covered Cause Of Loss, we will pay up earnings up to $500 per day be- to $1,000 for your liability for Fire be- cause of time off from work. partment Service Charges: CA 70 77 10 13 Page 2 of 3 (a) Assumed by contract or agreement mean that you have such know- prior to loss; or ledge, unless receipt of such documents is known to you, any (b) Required by local ordinance. of your executive officers or No deductible applies to this additional partners or your insurance coverage. manager. F. AIRBAG COVERAGE - ACCIDENTAL DIS- 1. UNINTENTIONAL FAILURE TO DISCLOSE CHARGE HAZARDS SECTION III - PHYSICAL DAMAGE COVER- Under SECTION IV - BUSINESS AUTO CON- AGE, Item B. Exclusions, subparagraph 3.a. DITIONS, B. General Conditions, 2. is deleted and replaced with the following: Concealment, Misrepresentation Or Fraud is arnended to include the following additional a. Wear and tear, freezing, mechanical paragraph: or electrical breakdown. If you unintentionally fail to disclose any Mechanical breakdown does not ap- hazards existing at the inception date of ply to the accidental discharge of an your policy, we will not deny coverage airbag. under this Coverage Part because of G. GLASS REPAIR - WAIVER OF DEDUCTIBLE such failure. SECTION III - PHYSICAL DAMAGE COVER- J. WORLDWIDE COVERAGE AGE, item D. Deductible the following para- Under SECTION IV - BUSINESS AUTO CON- graph is added: DITIONS, B. General Conditions, 7. Policy No deductible shall apply to glass dam- Period, Coverage Territory, subparagraph (5) age if the glass is repaired rather than is deleted and replaced with the following: replaced. (5) Anywhere in the world, if: H. KNOWLEDGE AND NOTICE OF AN ACCI- (a) A covered "auto" of the private DENT, CLAIM OR SUIT passenger type is leased, hired, SECTION IV - BUSINESS AUTO CONDITIONS, rented or borrowed without a Item A. Loss Conditions is amended as fol- driver for a period of 45 days or lows: less; and Subparagraph a. under Item 2. Duties In (b) The "insured's" responsibility to The Event Of Accident, Claim, Suit Or pay damages is determined in Loss, is amended to include the following a "suit" on the merits, in the paragraphs: United States of America, Puerto Rio or Canada or in a This requirement applies when the settlement we agree to. "accident," claim, "suit" or "loss" is first known to: (c) If, for such "autos" a "suit" is (1) You, if you are an individual; brought outside the territory de- scribed in 7.(1) through 7.(4) (2) A partner, if you are a partner- above, we will reimburse the ship; or insured for defense expenses incurred with our written con- (3) An executive officer or insur- sent, but we will make no pay- ance manager, if you are a cor- ment, nor will we reimburse the poration. insured for damages. Subparagraph b.(2) under 2. Duties In K. DEFINITIONS The Event Of Accident, Claim, Suit Or Under SECTION V - DEFINITIONS, Item C. is Loss is amended as follows: replaced by the following: (2) Immediately send us copies of any request, demand, order, C. "Bodily injury" means bodily injury, sick- notice, summons or legal paper ness or disease sustained by a person, received concerning the claim including mental anguish, mental injury or "suit." or death resulting from any of these. "Bodily injury" includes mental anguish Your employees may know of or other mental injury resulting from documents received concerning "bodily injury". a claim or "suit". This will not CA 70 77 10 13 Page 3 of 3 Policy Number:ATN241010193 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organizations) Location(s) Of Covered Operations As Required By Written Contract With The Named Insured,Fully As Required By Written Contract With The Named Executed Prior To The Named Insured's Work Insured,Fully Executed Prior To The Named Insured's Work Information required to complete this Schedule, if not shown above, will be shown in the declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclusions organization(s) shown in the Schedule, but only with apply: respect to liability for"bodily injury","property damage" This insurance does not apply to "bodily injury" or or "personal and advertising injury" caused, in whole "property damage"occurring after: or in part, by: 1.All work, including materials, parts or equipment 1. Your acts or omissions; or furnished in connection with such work, on the 2. The acts or omissions of those acting on your behalf; project (other than service, maintenance or repairs) to be performed by or on behalf of the additional in the performance of your ongoing operations for insured(s) at the location of the covered operations the additional insured(s) at the location(s) has been completed; or designated above. 2. That portion of"your work" out of which the injury or damage arises has been put to its However: intended use by any person or organization other 1. The insurance afforded to such additional insured only than another contractor or subcontractor engaged applies to the extent permitted by law; and in performing operations for a principal as a part of 2. If coverage provided to the additional insured is the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 0413©Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to 2. Available under the applicable Limits of these additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we Limits of Insurance shown in the Declarations. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 2010 04 13