Loading...
HomeMy WebLinkAboutColorado Mechanical Systems - Insurance Certificate 2025 ACOPRE?® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/19/2024 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 Arthur J. Gallagher Risk Management Services, LLC PHONE FAx 300 S Riverside Plaza STE 1500 c E :312-704-0100 JC No):312-803-7443 Chicago IL 60606 -aI DRESS: INSUREfl S AFFORDING COVERAGE NAIC A INSURER A:Allied World Assurance Co U.S. Inc. 19489 INSURED PREMIST-02 INSURER B:Travelers Indemnity Company 25658 Colorado Mechanical Systems, LLC 7094 South Revere Parkway INSURER C:Travelers Property Casualty Co of America 25674 Centennial, CO 80112 INSURER D:Indian Harbor Insurance Company 36940 INSURER E:Travelers Casualty Insurance Co of America 19046 INSURER F: Charter Oak Fire Insurance Company 25615 COVERAGES CERTIFICATE NUMBER:192577613 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 ADDL SUPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE a POLICY NUMBER MWDDNYYY MWDD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y VTC2K-5809B690-IND-25 1/1/2025 1/1/2026 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE 1XI OCCUR PREMISES Ea occurrence $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY[X]jE 0 LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: PER PROJ.AGG.LIMIT $4,000,000 F AUTOMOBILE LIABILITY VTC20-CAP-58096708-COF-25 1l1I2025 1/1/2026 COMBINED SINGLE LIMIT $2 000,000 F VTO-BAP-5809B71A-COF-25 1/1/2025 1/1/2026 (Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C X UMBRELLALIAB X OCCUR CUP-5809B721-25-25 1/1/2025 1/1/2026 EACH OCCURRENCE $10,000,000 A 0313-2756 1/1/2025 1/1/2026 EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000,000 DED I I RETENTION$ I $ C WORKERS COMPENSATION Y UB-4VV271041-25-25-R 1/1/2025 1/1/2026 X STATUTE I I ERH E AND EMPLOYERS'LIABILITY Y/N UB-4W272443-25-25-K 1/1/2025 1/1/2026 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUE F—NJNIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000.000 D Professional/Pollution CE0742159002 1/1/2025 1/112026 Professional Agg. $10,000,000 C Install.Floater QT 630 4W268706 TIL 25 1/1/2025 1/1l2026 Pollution Agg. $10,000,000 Leased/Rented Equip Inst.FL.Limit $5,000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Leased/Rented Equipment Limit:$250,000,Insurer:C,Policy Number:QT 630 4W268706 TIL 25,Effective Date and Expiration Date:1/1/2025 to 1/1/2026. The Certificate Holder along with any other additional entities required by written contract or agreement are included as additional insureds with regard to General Liability and Auto Liability on a primary non-contributory basis,subject to policy terms,conditions and exclusions.A Waiver of Subrogation applies in favor of the above noted additional insureds per written contract or agreement with regard to General Liability,Auto Liability and Workers Compensation, subject to policy terms,conditions and exclusions.Excess Liability is follow form. City of Fort Collins is shown as Additional Insured solely with respect to General Liability coverage as evidenced herein as required by written contract.A Waiver of Subrogation in favor of Additional Insureds is included under the General Liability and Workers Compensation coverages as evidenced herein 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 City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 281 N. College Ave PO BOX 580 YAUTHO ]ZED REPRESENTATIVE Fort Collins CO 80522-0580 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 72/19/2024 E(MWDD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 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 Arthur J.Gallagher Risk Management Services, LLC NAME:PHONE FAx 300 S Riverside Plaza STE 1500 aC No E :312-704-0100 A/C No):312-803-7443 AIL Chicago IL 60606 ADDRESS: _ INSURERS AFFORDING COVERAGE NAIC Y INSURER A:Allied World Assurance Co U.S. Inc. 19489 INSURED PREMIST-02 INSURER B:Travelers Indemnity Company 25658 Colorado Mechanical Systems, LLC 7094 South Revere Parkway INSURER C:Travelers Property Casualty Co of America 25674 Centennial, CO 80112 INSURER D: Indian Harbor Insurance Company 36940 INSURER E:Travelers Casualty Insurance Co of America 19046 INSURER F: Charter Oak Fire Insurance Company 25615 COVERAGES CERTIFICATE NUMBER:1823725322 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MWDD/YYYY MM/DD/YYYY B X COMMERCIAL GENERAL LIABILITY VTC2K-5809B690-IND-25 1/1/2025 1/1/2026 EACH OCCURRENCE $2,000,000 �OCCUR DAMAGE T RENTED CLAIMS-MADE PREMISES Ea occurrence $500,000 VIED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY[�]jE O LOC PRODUCTS-COMP/OP AGG $4,000.000 OTHER: PER PROD.AGG.LIMIT $4,000,000 F AUTOMOBILE LIABILITY VTC20-CAP-5809B708-COF-25 1/1/2025 1/1/2026 COMBINED SINGLE LIMIT $2,000,000 F VTO-BAP-5809B71A-COF-25 1/1/2025 1/1/2026 Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ C X UMBRELLA LIAB X OCCUR CUP-5809B721-25-25 1/1/2025 1/1/2026 EACH OCCURRENCE $10,000,000 A 0313-2756 1/1/2025 1/1/2026 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ C WORKERS COMPENSATION PER OTH- E AND EMPLOYERS'LIABILITY UB-4VV271041-25-25-R 1/1/2025 1/1/2026 X STATUTE ER Y/N UB-4W272443-25-25-K 1/1/2025 1/1/2026 ANYPROPRIETOR/PARTNER/EXECUTIVE � E.L.EACH ACCIDENT $1.000,000 OFFICER/MEMBEREXCLUDED? 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 D Professional/Pollution CE0742159002 1/1/2025 1/1/2026 Professional Agg. $10,000,000 C Install.Floater QT 630 4W268706 TIL 25 1/1/2025 1/1/2026 Pollution Agg. - $10,000,000 Leased/Rented Equip Inst.FL.Limit $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Leased/Rented Equipment Limit:$250,000,Insurer:C,Policy Number:QT 630 4W268706 TIL 25,Effective Date and Expiration Date:1/1/2025 to 1/1/2026. The Certificate Holder along with any other additional entities required by written contract or agreement are included as additional insureds with regard to General Liability and Auto Liability on a primary non-contributory basis,subject to policy terms,conditions and exclusions.A Waiver of Subrogation applies in favor of the above noted additional insureds per written contract or agreement with regard to General Liability,Auto Liability and Workers Compensation, subject to policy terms,conditions and exclusions.Excess Liability is follow form. 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 281 N. College Drive Fort Collins CO 80522 YAUTHOIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) F12/19/2024 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: Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 300 S Riverside Plaza STE 1500 No Ext: 312-704-0100 ac No):312-803-7443 Chicago IL 60606 ADDRIESS: INSURERS AFFORDING COVERAGE NAIC If INSURER A:Allied World Assurance Co U.S. Inc. 19489 INSURED PREMIST-02 INSURER B:Travelers Indemnity Company 25658 Colorado Mechanical Systems, LLC dba Bear Mountain Mechanical INSURER C:Travelers Property Casualty Co of America 25674 7094 South Revere Parkway INSURER D:Indian Harbor Insurance_Company_ 36940 Centennial CO 80112 INSURER E:Travelers Casualty Insurance Co of America 19046 INSURER F; Charter Oak Fire Insurance Company 25615 COVERAGES CERTIFICATE NUMBER:35183127 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DDNYYY MM/DD/YYYY LIMITS LTR B X COMMERCIAL GENERAL LIABILITY VTC2K-5809B690-IND-25 1/1/2025 1/1/2026 EACH OCCURRENCE $2,000,000 CLAIMS-MADE lxl OCCUR DA A E REN ED PREMISES Ea occurrence $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: I PER PROJ.AGG.LIMIT $4,000,000 F AUTOMOBILE LIABILITY VTC20-CAP-5809B708-COF-25 1/1/2025 1/1/2026 COMBINED SINGLE LIMIT $2,000,000 F VTO-BAP-5809B71A-COF-25 1/1/2025 1/1/2026 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED H $ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident CA X X UMBRELLALIAB OCCUR CUP-5809B721-25-25 1/1/2025 1/1/2026 EACH OCCURRENCE $10,000,000 EXCESS LIAR 0313-2756 1/1/2025 1/1/2026 CLAIMS-MADE AGGREGATE $10,000,000 DED I I RETENTION$ I $ C WORKERS COMPENSATION PER OTH- E AND EMPLOYERS'LIABILITY UB-4W271041-25-25-R 1/1/2025 1/1/2026 X STATUTE ER Y/N UB-4W272443-25-25-K 1/1/2025 1I1/2026 ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFICEPJMEMBEREXCLUDED? (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 D Professional/Pollution CE0742159002 1/1/2025 1/1/2026 Professional Agg. $10,000,000 C Install.Floater QT 630 4W268706 TIL 25 1/112026 1/1/2026 Pollution Agg. $10,000,000 Leased/Rented Equip Inst.FL.Limit $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Leased/Rented Equipment Limit:$250,000,Insurer:C,Policy Number:QT 630 4W268706 TIL 25,Effective Date and Expiration Date:1/1/2025 to 1/1/2026. The Certificate Holder along with any other additional entities required by written contract or agreement are included as additional insureds with regard to General Liability and Auto Liability on a primary non-contributory basis,subject to policy terms,conditions and exclusions.A Waiver of Subrogation applies in favor of the above noted additional insureds per written contract or agreement with regard to General Liability,Auto Liability and Workers Compensation, subject to policy terms,conditions and exclusions.Excess Liability is follow form. 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 281 N College 281 Fort Collins CO 80524 YRED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACC" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/19/2024 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 Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 300 S Riverside Plaza STE 1500 c N E :312-704-0100 A/C No):312-803-7443 Chicago IL 60606 E-MAIL SS: INSURER(S)AFFORDING COVERAGE NAIC Y INSURER A:Travelers Indemnity Company 25658 INSURED PREMIST-02 INSURER B:Travelers Property Casualty Co of America 25674 Colorado Mechanical Systems, LLC 7094 South Revere Parkway INSURER C:Charter Oak Fire Insurance Company 25615 Centennial, CO 80112 INSURER D:Allied World National Assurance Company 10690 INSURER E:Travelers Commercial Casualty Company 40282 INSURER F: COVERAGES CERTIFICATE NUMBER:1262326067 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 POLICY EFF POLICY EXP LTR ADDLTYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MWDD/YYYY MWDD/YYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY VTC2K-5809B690-IND-25 1/1/2025 1/1/2026 EACH OCCURRENCE $2,000,000 F—vi DA AGE TO RENTED CLAIMS-MADE OCCUR PR MISES Ea occurrence $500,000 MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY ]JE� LOC PRODUCTS-COMP/OP AGG $4,000.000 OTHER: $ C AUTOMOBILE LIABILITY VTC20-CAP-5809B708-COF-25 1/1/2025 1/1/2026 COMBINED SINGLE LIMIT $2,000.000 C VTO-BAP-5809B71A-COF-25 1/1/2025 1/1/2026 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLA LIAB X OCCUR CUP-5809B721-25-25 1/1/2025 1/1/2026 EACH OCCURRENCE $10,000.000 0 0313-2756 1/1/2025 1/1/2026 EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ E WORKERS COMPENSATION PER OTH- B AND EMPLOYERS'LIABILITY 11B-4VV272443-25-25-K 1/1/2025 1/1/2026 X STATUTE ER Y/N UB-4W271041-25-25-R 1/1/2025 1/1/2026 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/M EMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I L.DISEASE-POLICY LIMIT $1,000,000 B Install.Floater QT 630 4W268706 TIL 25 1/1/2025 1 1/1/2026 Any One Job $5,000,000 Leased/Rent Equip Leased/Rented Equip. $250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) The Certificate Holder along with any other additional entities required by written contract or agreement are included as additional insureds with regard to General Liability and Auto Liability on a primary non-contributory basis,subject to policy terms,conditions and exclusions.A Waiver of Subrogation applies in favor of the above noted additional insureds per written contract or agreement with regard to General Liability,Auto Liability and Workers Compensation, subject to policy terms,conditions and exclusions.Excess Liability is follow form. 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 281 N.College Drive YAUTHO [ZED REPRESENTATIVE Fort Collins CO 80522 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DATE(MWDD/YYYY) ACORDII CERTIFICATE OF LIABILITY INSURANCE Ill12/19/2024 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 Arthur J. Gallagher Risk Management Services, LLC PHONE FAX 300 S Riverside Plaza STE 1500WC,N Et): 312-704-0100 A/c No):312-803-7443 Chicago IL 60606 ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC If INSURER A:Allied World Assurance Co U.S. Inc. 19489 INSURED PREMIST-02 Colorado Mechanical Systems, LLC INSURER B:Travelers Indemnity Company 25658 dba Bear Mountain Mechanical INSURER C:Travelers Property Casualty Co of America 25674 7094 South Revere Parkway INSURER D: Indian Harbor Insurance Company 36940 Centennial CO 80112 INSURER E:Travelers Casualty Insurance Co of America 19046 INSURER F: Charter Oak Fire Insurance Company 25615 COVERAGES CERTIFICATE NUMBER:1306225452 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MWDD/YYYY MM/DD/YYYY B X COMMERCIAL GENERAL LIABILITY VTC2K-5809B690-IND-25 1/1/2025 1/1/2026 EACH OCCURRENCE $2,000,000 CLAIMS-MADE �OCCUR DAMAGE T RENTE PREMISES Ea occurrence $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY I JECT LOC PRODUCTS-COMP/OP AGG $4,000,000 PRO- OTHER: PER PROD.AGG.LIMIT $4,000,000 F AUTOMOBILE LIABILITY VTC20-CAP-5809B708-COF-25 1/1/2025 1/1/2026 COMBINED SINGLE LIMIT $2000,000 F VTO-BAP-5809B71A-COF-25 1/1/2025 1/1,2026 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ C X UMBRELLA LIAB X OCCUR CUP-5809B721-25-25 1/1/2025 1/1/2026 EACH OCCURRENCE $10,000,000 A 0313-2756 1/1/2025 1/1/2026 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ C WORKERS COMPENSATION UB-4W271041-25-25-R 1/1/2025 1/1/2026 X PTER OTH- ER E AND EMPLOYERS'LIABILITY Y/N UB-4W272443-25-25-K 1/1/2025 1/1/2026 ANYPROPRIETOR/PARTNER/EXECUTIVE N E.L.EACH ACCIDENT $1,000,000 OFFICER/M EMBER EXCLUDED? 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 D Professional/Pollution CE0742159002 1/1/2025 1/1/2026 Professional Agg. $10,000,000 C Install.Floater QT 630 4W268706 TIL 25 1/1/2025 1/1/2026 Pollution Agg. $10,000,000 Leased/Rented Equip Inst.FL.Limit $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Leased/Rented Equipment Limit:$250,000,Insurer:C,Policy Number:QT 630 4W268706 TIL 25,Effective Date and Expiration Date:1/1/2025 to 1/1/2026. The Certificate Holder along with any other additional entities required by written contract or agreement are included as additional insureds with regard to General Liability and Auto Liability on a primary non-contributory basis,subject to policy terms,conditions and exclusions.A Waiver of Subrogation applies in favor of the above noted additional insureds per written contract or agreement with regard to General Liability,Auto Liability and Workers Compensation, subject to policy terms,conditions and exclusions.Excess Liability is follow form. 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. Fort Collins Building Department PO Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE 4 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD