HomeMy WebLinkAboutANSCO & Associates, LLC - Insurance CertificateACORif
COVERAGES
CERTIFICATE OF LIABILITY !NSURANCE
CERTIFICATE NUMBER: 2143574731 REVISION NUMBER
DA'E {X[/DO/YYYY}
1t9t2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGI{TS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO 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, ANO THE CERTIFICATE HOLDER.
IMPORTANT: lf the ce,tificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVEO, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statemcnt on
this ce,tificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PROOUCER
Edgewood Partners lns Center
5909 Peachtree Dunwoody Road
Suite 800
Atlanta GA 30328
coNTAC-r Certificate Unit
404-781-1700 l
certifi cate@epicbrokers.com
INSU s AFFORDING COVEFAGE
TNSURER A: Libe Mutual Fire lns Co 23035
INSURED
ANSCO & ASSOCIATES, LLC
1220 Old Alpharetta Road, Suite 380
Alpharetta,, GA 30005
oYcoMrNo INSURERB:LM INSUTANCC ration 33600
INSURERC
INSURER D
INSURER E
INSURER F
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATEO NOTWTHSTANDING ANY REOUIREI\,IENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUI,IIENT WTH RESPECT TO Ii./HICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU&'ECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOW\ MAY HAVE BEEN REDUCED BY PAIO CLAIMS
iYPE OF INSURANCE POLICYNUMBER UMITSPOLICY EXP
s 10,000,000
s'10,000,000
$
$
$5,000,000
113112026T82631510825235113'12025
l
ER
PROOUCTS COMP/OP AGG
GENERAL AGGREGATE
PERSONAL & AOV INJURY
A X COIIUERCIALGENERAL UASUTY
CLAIMS-I,iAOE X OCCUR
E LIMIT $5,000.0001131120251t3112026
X
AOOILY INJURY (Pera@dni)S
$
X
N sl
BoDILY INJURY (Pn p€rs.n) I $
AUTOS ONLY
hIRED
AUTOS ONLY
A i AUIOTOBLEUABUIYL--
I x ] ANYAuroow,rED I I SCHEDULED
AUTOS
NONO!',Vl!EO
AUTOS ONLY
$
$ 5,000,000
$ 5,000,000
T1263'1510856295 1t3112025 1t3112026 FACH OCCI]RRENCE
AGGREGATE
OCCUR
CLAIMS.I/!ADE
X
EXCESS LjAA
DED RETENTION S
I woRxERscouPENsaTrorl
B AND EMPLOYERS' UABIUTYa ANypRopRtEToR/paRTNER/EXEculvE
IoFFrcER,rEMBERExcLUDED?N
X(AO
(MN
(oH
N
$1 ,000,000
t
N
91 000,000
ST TE
Y/N
E L EACH ACCIOENT
E L DISEASE - POLICY LIMIT
E L DISEASE - aaA EMPLOY
$ 1,000,000
1t31D025
1131t2025
1t3112025
1t3112026
113112026
11312026
s)&w)wA563D004260035
wc5631004260045
EW263N509906195
oEScR PnON OF OPERAIIONS / LOCATIoNS / vEHlcLEs lAcoRD 1ol , Addltion.l R.m.rt! sch.dul., m.y bo .t!.ch.d ll mom .p.c. l! r.quir€d)
Jack Hober CGC'1522785 is clvered under Ansco & Associates, LLC. City of Fort Collins, to the extent required by written contract is an additional insured on
a primary and non-contributory basis with respect to general liability and auto liability. A waiver of subrogation applies in favor of the additional insureds to the
extent required by written contracl as allowed by appiicable law with respect to general liability, auto liability and worke/s componsation. 30day notice of
cancellation, except 10 days for non-payment of premium, applies to the extent required by wdtten contract.
CERTIFICATE HOLOER CANCELLATION
City of Fort Collins
281 N. College Ave.
Ft. Collins CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
rHE EXPIRATION DATE THEREOF, NOTICE wlLL BE DELIVERED IN
ACCORDANCEwlTHTHEPOLICYPROVISIONS.
AUTHORIZED REPRESENTATIVE
-b,.,-zO-l-+
O 1988-2015 ACORD CORPORATIO]{. All right8 rs$ryed.
The ACORO name and logo are regislered marks ofACORDACORD 25 (2016/03)
lEAcHoccuRRENcE s5.ooo,ooofBffimffi**al.x-.!'L
GEN L AGGREGATE uMrrAppLrEs pER I
l l"o,",[!p"o, I l.o"
AS2631004260025
lFF6FERrYoAlcGE-1-" -
I rPe ed€.rtr
X