HomeMy WebLinkAboutHall-Irwin Corporation - Insurance Certificate DATE(MMIODNYYY)
AcoRV CERTIFICATE OF LIABILITY INSURANCE
`� 1 12/31/2024
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: Katie Smothers
CRS Insurance Brokerage PHONE 303-996-7800 ac No:303 757-7719
9780 S Meridian Blvd Suite 400 E-MAIL
Englewood CO 80112 AD REss: ksmothers@crsdenver.com
INSURER(S)AFFORDING COVERAGE _ __NAIC i
INSURER A:Westfield Insurance 24112
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INSURED - HALIR-1
INSURER B: Plnnacol Assurance 41190
Hall-Irwin Corporation
5586 W 19th St., Suite 2000 INSURER C: United Specialty Insurance Co 12537
Greeley CO 80634 INSURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:754633627 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 _ _ __ �ADbL'$UBR- --------______ ___-------T--POLICY EFF i POLICY HXP-,-_ -----_ .... --------__ _
LTR TYPEOFINSURANCE IN WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS
C X ! COMMERCIAL GENERAL LIABILITY Y ATN241010193 12/31/2024 i 1 2/3 112 0 2 5 EACH OCCURRENCE $1,000.000
CLAIMS-MADE L x OCCUR DA AG ES�Ea ocwrrence $50,000___
MED EXP(Any one person) $5,000
X VVY EL Stop Gap PERSONAL&ADV INJURY $1.000,000
GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $2,000,000
O• ---i h-- --
POLICY II X JEPRCT _J LOC I PRODUCTS-COMP/OPAGG $2,000,000
'OTHER: ! Stop Gap Liability s 1.000,000
A AUTOMOBILE UABIUTY Y 1 12/31/2025 COMBINED SINGLE LIMIT $1.000,000
X ANY AUTO
i
BODILY INJURY(Per person) $
OWNED SCHEDULED I BODILY INJURY(Per accident) $
A AUTOS
X
AUTOS ONLY
NON-OWNED PROPERTY DAMAGE
AURTODS ONLY X AUTOS ONLY Per accident $
I
$
C UMBRELLA L1A6 X OCCUR BTN24102380 12/31/2024 12/31/2025 ! EACH OCCURRENCE $5,000,000
X EXCESS LIAB �i CLAIMS-MADE AGGREGATE $5,000,000
DED ' X RETENTION S ( $
g WORKERS COMPENSATION 4021105 1/1/2025 1/1/2026 X STATUTE EORH
AND EMPLOYERS'LIABILITY Y/N
ANYPROPRIETORIPARTNER/EXECUTIVE N E.L.EACH ACCIDENT $1,000,000
OFFICE RIM EMBER EXCLUDED? N/A'' E.L.EACH A----- --.—__---
'(Mandatory In NH) I ! E.L.DISEASE-EA EMPLOYEE $1,000,000
It yes,describe under —
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000 000
A I Leased end Rented Equipment CWP7976721 ! 12/31/2024 12/31/2025 Limit 1,000,000
Special Form/ACV/100%Coinsurance iI Deductible 2.500
i
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is required)
The City of Fort Collins is included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability
with respect to operations of the named insured for the certificate holder 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 Purchasing ACCORDANCE WITH THE POLICY PROVISIONS.
215 N Mason St, 2nd Floor
PO Box 580 AUTHORIZED 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
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