HomeMy WebLinkAboutHall-Irwin Corporation - Insurance Certificate 2024-2025COVERAGES
CERTIFICATE OF L]ABILITY INSURANCE
CERTIFICATE NUMBEH: 1 16023e367 REVISION NUMBERI
THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMANON ONLY AND CONFEBS NO RIGHTS UPON THE CERTIFICATE HOLDEB. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSUBANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUBER(S), AUTHORIZEO
REPRESENTATIVE OR PNODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lt the certltlcate holder i3 an ADOITIONAL INSURED, the policy(ies) must hsve ADDITIONAL INSUBEO provisions or be endorsed.
ll SUBROGATION lS WAIVED, subject to the terms and conditions ol the policy, certaln pollcles may requlre an endorsemenl. A statemenl on
thls cenltlcate does not conre, rlghls to lhe cerllflcate holder in lleu of suchlndoEg!ryllG).
PBOOUCEA
CRS lnsuranc6 Brokerage
97E0 S Meridian Blvd Suite 400
Englewood CO 80112
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PHOTIE
Katle Smof)ers
303-996-7800 303-7 57 -77 19
ksmoth nver com
COVEFAGE
|NSUBEBA: Westf eld lnsurance 24112
IMIUAED
Hall-lrwrn Corporaton
5586 W 1gth St Suite 2000
Greeley CO 806'34
-irLra'r rr,lsuBEFa i Pinnacol AsSurance 41190
tlguuEAq : llt1lqd]1ripgllelrylEt In!c9 !9 1253?
INSUFEEO
INSUFEF E
THIS IS TO CERTIFY T1IAT THE POLICIES OF INSUFANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AAOVE FOR THE POLICY PERIOD
INDICAT€D, TIOTWTHSTA}IOING ANY REOUIBEMENT, TEBM OR CONDITION OF ANY CONTHACT OB OTHER OOCUMEMT WITH BESPECT TO WHICH THIS
CER-TIFICATE MAY BE ISSUED OB MAY PERIAIN THE INSUFANCE AFFOROEO BY IHE POLICIES OESCNIBEO HEREIN IS SUBJECT TO ALL THE fEBMS,
EXCLUSIONS AND CONOITIONS OF SUCH POLICIES, LIMIIS SHOWN MAY HAVE BEEN REDUCED BY PAIO CLAII!4S,
!IMISPOL'CY NIJMSEBTYPEOFINSUFANCE
ATN2t1010193 s 1 000.000
G ENEFAL AGGF ECAT E
fs r,ooo,ooo
xwY EL Stop G.p
PFOOUCTS, COMPIOP AGG $2.000.000
X CO UENqALGENEFA! IIAEIUTY 12t31DA24 12t31t2025 EACHoccURBENcE
crnrtts.tanoe X occun
PEASONAL & AOV TNJUBY $ 1.0oo.oo0
E2.oppqooGEN'L AGGBEGATE LIMIT APPLIES PEF
LOC
I J50 ooo
$5 000
OAMAGE TOFENTED
. fqlldlqEs lEa qcq{!q.!a,-L
MED ExP (Any oie p€rso.)
-_ eoL,c". x 5E&
t1.000.000CV\P7576721
S
X
12t31t2024 1?J31t2025
BOOILY lr'UUFY (Peraccide.l) S
@OILY IIUUBY (P.rp.lson)
SCHEOI,LED
AUTOS-t- NoN owNEo
, " I AUTOS ONIY
AUTO$OBILE UABIUTY
X ANY AUIO
owNeo
AUTOS ONLY
HINEO
AUTOS ONLY -PBoPEBrt-DAMAl6a. {Pqr qcqd6r]rl
c UMBRELLALIAB X
EXCESS UAA
OCCUF
CLAIMS'MADE
oEo X FETENT|oN
X
8TN24102380 s 5 000.000
s
12t31D424 12l31/2025 EAoHocCUBRENcE
$ 5.000 000
wo8KEns coltPENSaIoN
AllO Ei|PLOYEAS UAB|UiY
ANYPFOPR]ETOF/PAFINER EXECUIIVE
OFFICER/MEMEEREXCLUOEO?
4021105
N/A
E L. DISEASE
B 111t2025 111t2026 x
POL CY LIM T $ 1 000.000OF OPEFATTONS b€
]ER I
( 6nd5lory ln lto E L DISEASE EA EMPLOYEE S 1 OOO OOO
i!.E4!-tc!t9E{L .l r 1.000,000 _
1.6.d and Rent d Eq!'9m!ntspeal FotdACv/1 00% conilre€c\t"P7976721 00
502
12131t2A24 12t312A25 0.000
0
DESCAImOaI oF OPERAnOI{S / LOCAnO{5 / vE}llCLES (AcOfiO lO1, A(5iuon l R.rrkr gch.d!L, rlly b. ltrn d I mor..p.c. tr r.qut d)RE CITY PARK REFRESH - RESTROOM WORKOTDER NO 2 Crty ol Fort Co ins is includcd as additonal insuicd on the G.nsral Liability wth rcspoct toongoing operalions ofthe named insured for the cerbficate holder as requrred by written conract Workers Corhpensstion coverege rhctL,Oesi wjiver*subrogation
CERTIF TE HOLDER CANCELLATION
CORPORATION. All rights res6rved.
S}IOULD ANY OFTHE ABOVE OESCRIBEO POUCIES BE CANCELLED BEFORETHE EXPIFATION OATE
'HEBEOF,
I{OTICE WILL BE DELIVERED IN
ACCORDAT{CE WTH THE POLICY PHOVISIONS.City of Fort Collins
300 LaPorte Avenue
Fort Collins CO 80522 t! 6l,L'AUTHOFIZEO BEPRE€ENTAIIVE
ACOBD 25 (2016/03)
o r988.2015 ACOFD
The ACORD nams and logo ere rsglst€red mark ol ACORD
175691 2 of4
OATE (rIIIOO,YYYY)
12t31n024
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