HomeMy WebLinkAboutSilverline Services, LLC - Insurance Certificate ACC)R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDIYYYY)
111.� 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
NAME: Darla Kelley
AssuredPartners Colorado PHONE 303 951 0138 AX No
4582 S. Ulster St., Suite 600 E-MAIL
Denver CO 80237 ADDREss: daria.rolf assured artners.com
INSURERS AFFORDING COVERAGE i NAIC#
_ INSURER A:Travelers Indemnity Company 25658
INSURED SILVSER-02 INSURER B:The Travelers Indemnity Company Of America 25666
Silverline Services, LLC
1251 Diamond Valley Drive INSURERC:Travelers Property Casualty Co of America 25674
Windsor CO 80550 INSURER D:_Pinnac_ol Assurance ! 41190 _
INSURER E:Zurich American Insurance Company —� 16535
INSURERF: Federal Insurance Company 20281
COVERAGES CERTIFICATE NUMBER:794422832 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' jADDL Sut3Hj POLICY EFF POLICY EXP `
LTR TYPEOFINSURANCE IN WV i POLICYNUMBER MWDD/YYYY MMIDDI YY LIMITS
A X COMMERCIAL GENERAL LIABILITY Y Y H-660-6S756630-IND-25 1/1/2025 1/1/2026 EACHOCCURRENCE $1,000,000
CLAIMS-MMAGE TO RENTEIF__
ADE _X_1 OCCUR I PREMf$U Eaoccurrence $300,000
-- --
X 5&A Pollution MED EXP(Any one person) $5,000
X UGRE PERSONAL&ADV INJURY $1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER: ! GENERAL AGGREGATE $2,000,000
--� I---- O- I-� ---- - ---
POLICY J PERCT LOG PRODUCTS-COMP/OP AGG $2,000,000
OTHER: $
B AUTOMOBILE LIABILITY Y Y 810-7R7 907 1 4-2 5-N4-G 1/1/2025 1/1/2026 COMBINED SINGLE LIMIT $1,000,000
IEa-accidenl _
X ANY AUTO BODILY INJURY(Per person) $
1 OWNED iii SCHEDULED —AUTOS ONLY AUTOS -
BODILY INJURY(Per accident) $
1
HIRED PROPERTY DAMAGE
r� NON-OWNED AUTOS ONLY AUTOS ONLY -Per accident $
C X UMBRELLA LIAB X !OCCUR Y ! Y CUP-OT48396A-25-N4 1/1/2025 1/1/2026 EACH OCCURRENCE $10,000,000
EXCESS LIAB 1 CLAIMS-MADE
I
_.__-.-=-----_----- AGGREGATE -- - -- $10,000,000
DEO X ; RETENTION$1 n nnnj $
D WORKERS COMPENSATION Y 4215946 4/1/2024 4/1/2025 X STATUTE OERTH
AND EMPL YERS'LIABILITY y f N
ANYPROPRIETORfPARTNERiEXECUTIVE ❑! i E.L.EACH ACCIDENT $1,000,000
j OFFICEFUMEMBEREXCLUDED? N f A
(Mendato In NH) I E.L.DISEASE-EA EMPLOYEE $1,000,000
II yes,describe under - i --
DESC&IP-TlOhl_OF�PE&ATIOAIS_bpbw E.L.DISEASE-POLICY LIMIT $1,000 000
E All Other States WC Y WC 5246944-05 4/1/2024 4/1/2025 Each Limit 1,000,000
F Inland Marine 0670-46-52 1/1/2025 1/1/2026 Contractor's Equip 829,995
Leased/Rented Equip 150,000
DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Certificate holder is listed as additional insured on the liability policies(excluding Workers'Compensation).Waiver of subrogation applies to all policies in favor
of the additional insured. Insurance is primary&non-contributory. Umbrella follows form and extends over the GL,AL, EL and Sudden&Accidental Pollution
policies. 30-day notice of cancellation applies.
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 North College Avenue AUTHORIZED REPRESENTATIVE
Fort Collins CO 80524
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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