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A14. � � CERTIFICATE OF LIABILITY INSURANCE FD12/20ATE / 2024V)
12/20/2024
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 WTW Certificate Center
NAME: _
Willis Towers Watson Northeast, Inc. PHONE 1-877-945-7378 FAX 1-868-467-2376
c/o 26 Century Blvd E A C No
P.O. Box 305191 AIL
ADDRESS: certificates@wtwco.com
Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC u
. INSURERA: Hartford Casualty Insurance Company, 29424
INSURED Sterling Check Corp. INSURERB: Trumbull Insurance Company 27120
6150 Oak Trot Blvd, INSURERC: Twin City Fire Insurance Company 29459
Suite 490 INSURERD: QBE Specialty Insurance Company 11515
- --- - 1 ---
Independence, OR 44131 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:W36773314 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.
ILTR TYPE OF INSURANCE 'ADDL,SUBRi POLICY EFF POLICY EXP 1
POLICY NUMBER MMIDDlYYYY MM/DD/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
E4CHOCCURRENCE !$ 1,000,000
CLAIMS-MADE X�OCCUR PREMISE$,(Ea occurrences_ $ 300,000
A - J ME0 EXP(Any one person) $ - - - 10,000
Y 08 UUN SC9545 03/01/2024 03/01/2025 PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000
- :— PRO.
r---;
X POLICY ----- ---- -- - 2,000,000
JECT LOC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
---- Ea accident $ 1,000,000
ANY AUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED Y 08 UEN BC9591 03/O1/2024 03/01/20251 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED i PROPERTY DAMAGE
X AUTOS ONLY X AUTOS ONLY Per accident $
X UMBRELLA LIAR X
A _= OCCUR EACH OCCURRENCE I$ 5,000,000
EXCESSLIAa J CLAIMS-MADE O8 RHU BC9463 03/01/2024 03/01/2025;
AGGREGATE. _ . - I$ 5,000,000
DED XI RETENTION$10,000 $
WORKERS COMPENSATION X I PER I QTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
C ANYPROPRIETORIPARTNER/EXECUTIVE I E L EACH ACCIDENT $ 1,000,000
OFFICE RiMEMBEREXCLUDED? NIA 08 WE AV4RWG 03/01/2024 03/01/2025 --- — -- t--- -_- -_
(Mandatory In NH) I E.L.DISEASE EA EMPLOYEES$ 1,000,000
II yes,describe under
DESCRIPTION OF OPERATIONS bebw i E.L.DISEASE-POLICY LIMIT$ 11000,000
D ;Cyber/Tech E60 QPL2822928 10/31/2024 04/30/2026;Tech and Prof $3.0,000,000
(Retention 1$1,000,000
Retroactive Date 'Full Prior Acts
DESCRIPTION OF OPERATIONS 1 LOCATIONS r VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Certificate Holder is included as an Additional Insured as respects to General Liability and Automobile Liability (if
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
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fort Collins
AUTHORIZED REPRESENTATIVE
215 N. Mason Street
For
Fort Collins, CO 80522
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
SR ID: 26943704 SaTcH: 3749825
42825: 2 o1