HomeMy WebLinkAboutT2 Ues, Inc. - Insurance Certificate A CERTIFICATE OF LIABILITY INSURANCE DAT12 0/2024 YY)
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
Aon Risk Services southwest, Inc. PHONE
Houston TX Office (A/C.No.EXt): <866) 283-7122 (A/C No): (800) 363-0105
1300 Post oak Blvd., suite 1400 E-MAIL
Houston TX 77056 USA ADDRESS: _
INSURER(S)AFFORDING COVERAGE NAIC#
INSURED INSURER A: National union Fire ins Co of Pittsburgh 19445
T2 LIES, Inc. INSURERB: Commerce & Industry Ins Co 19410
7217 E 87th street
Indianapolis IN 46256 USA INSURER C: Zurich American Ins Co 16535
INSURER D:
INSURER E:
INSURER F:
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COVERAGES CERTIFICATE NUMBER: 570110159213 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. Limits shown are as requested
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE ❑X OCCUR PA AGES a NTErrOence $100,000
'RMMED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE POLIMITAPPLIESPER: GENERAL AGGREGATE $10,000,000 0)
POLICY EJECT LOC PRODUCTS-COMP/OPAGG $2,000,000 _o
OTHER: Per Project Aggregate $2,000,000 0
C AUTOMOBILE LIABILITY BAP 0305096-05 10/31/2024 10/31/2025 COMBINED SINGLE LIMIT $2,000,000 r-
Ea accident
X ANYAUTO BODILY INJURY(Per person) Z
OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) d
HIREDAUTOS NON-OWNED PROPERTYDAMAGE td
ONLY AUTOS ONLY Per accident)
B X UMBRELLA LIAB X OCCUR BE018993868 01 01 2024 07 01 2025 EACH OCCURRENCE $1,000,000 U
EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000
DED I X RETENTION$10,000
C WORKERS COMPENSATION AND WC030509505 10 31 2 2410 31 2 225 X PER STATUTE ORTH-
EMPLOYERS'LIABILITY Y/N ADS - WA Stop Gap
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000-
If ns,d PTION under
OPERATIONS below
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
City of Fort Collins, The City and County of Denver, its Elected and Appointed officials, Employees and volunteers are included
as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. 'r-tf!
Should General Liability policy be cancelled before the expiration date thereof, the policy provisions will govern how notice ,2t
of cancellation may be delivered to certificate holders in accordance with the policy provisions of each policy.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE a
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE o
POLICY PROVISIONS.
City Of Fort Collins AUTHORIZED REPRESENTATIVE �-� lo
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Attn: Connie Kiehn '�' o
281 N. College Ave. lqen' MIrG yl lw Lr4��� kido
Fort Collins CO 80524 USA co,
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ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD