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HomeMy WebLinkAboutThrivAire - Insurance Certificate 2025 LOHMILL-01 JHERAKOVICH ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 12/3030//2024024Y) 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 Jill Herakovich NAME: Gre ory 8 Appel Insurance PHONE 317 352-3393 FAX 433�Capitol Ave Suite 400 (AIC,No,Ext):( ) (A/C,No): Indianapolis,IN 46204 ADDRESS:jerakovich@gregoryappel.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Zurich American Insurance Co 16535 INSURED INSURER B:Continental Casualty Company 20443 ThriVAire INSURER C 4800 Osage Street Unit 100 INSURER D: Denver,CO 80221 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF ' POLICY EXP LIMITS R A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � OCCUR GLO9296986 1/1/2025 1/1/2026 DAMAGE TO RENTED 500,000 PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X i PRO- LOC ! PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO BAP9296987 1/1/2025 1/1/2026 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ 1 L $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 7033934626 1/1/2025 1/1/2026 AGGREGATE $ 10,000000 DED I X I RETENTION$ 10,000 A WORKERS COMPENSATION X PER .OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ' ER WC9296985 1/1/2025 1/112026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? N N/A Mandatory in NH) ___ _ __ E.L.DISEASE-EA EMPLOYEE $ 1,000,000 l yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) As required by written contract or written agreement the City of Fort Collins is included as additional insured issued on a Primary/Non-contributory basis,as defined in blanket additional insured endorsement form U-GL-1175 with respects to General Liability,Automobile Liability as defined in blanket additional insured endorsement form U-CA-424;and the Umbrella policy is following form as defined in policy form E00001,all according to the terms,conditions,and exclusions within the policies. Waiver of Subrogation applies in favor of the additional insured as defined in General Liability Blanket Waiver of Subrogation U-GL-1477;Automobile Blanket Waiver of Subrogation U-CA-424 and Workers Compensation Blanket Waiver of Subrogation WC 00 03 13. Notification to Others of Cancellation,Nonrenewal,or Reduction of Insurance applies with respects to General Liability as defined in(U-GL-1521);Auto Liability(U-CA-832);and Workers Compensation(WC 99 06 43),according to the terms,conditions,and exclusions within the policies. 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 City IN College ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins,CO 80524 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD