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,4. O CERTIFICATE OF LIABILITY INSURANCE FD02/111/2025ATE Y)
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
Willie Towers Watson Midwest, Inc.
NAME:
c/o 26 Century Blvd 1-877-945-7378 aC No: 1
PHONE -888-467-2378
E
P.O. Sox 305191 ADDR-MAILESS: certificates@wtwco.com
Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAICM
_ INSURERA: Continental Casualty Company 20443
- -
INSURED INSURERB: American Casualty Company of Reading Panne' 20427
AP Mountain States, LLC
797 Ventura Street INSURER C:
Aurora, Co 80011 INSURER D:
INSURER E: _
INSURER F:
COVERAGES CERTIFICATE NUMBER:W37717760 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.
LTR TYPEOFINSURANCE
POLICY EFF POLICY EXP
INSR - ADDL'.511BR pOUCY NUMBER MM/DD/YYYY MM,1DDlYYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 2,000,000
CLAIMS-MADE �X!!OCCUR rence �$_PREMISES Eacu ocr 1,000,000
A X'Contractual Liability ! MED EXP(Any one person) 1 $ 10,000
Y Y 7063877121 03/01/2025 03/01/2026! 2,000,000
PERSONAL&ADV INJURY I$
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ { 4,000,000
X
POLICY X JECT ' LOC $ ----
; PRODUCTS-COMP/OP AGG $ 4,000,000
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
accident) Is 2,000,000
�(; ANY AUTO �Ea-
—--- -----I--- - ---- - —
BODILY INJURY(Per person) $
A OWNED SCHEDULED Y Y 7063877104 03/01/2025 03/01/2026 BODILY INJURY(Per accident)I$
AUTOS ONLY AUTOS
XI HIRED X NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY $
{Perccid aen)___.._-_._---_
$ ----
UMBRELLALIAB OCCUR EACHOCCURRENCE $
EXCESS LIAB CLAIMS-MADE
- AGGREGATE- $
DED RETENTION$
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N X STATUTE ER
S ANYPROPRIETOR/PARTNERJEXOFFICE R/MEMBERE CLUDED?ECUTIVE No N/A Y 7063877118 03/OS/2025I03/Ol/2026 E.L.EACH ACCIDENT 1,000,000
(Mandatory In NH
E L.D�ISEASE EA EMPLOYEEI$ 1,000,000
II Yes,describe under E.L.DISEASE•POLICY LIMIT $
DESCRIPTION OF OPERATIONS bebw 1,000,000
1
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached I1 more space is required)
Re: 8474 - Ft Collins Municipal Court Renovation.
The City, its officers, agents and employees are included as Additional Insureds as respects to General Liability and
Auto Liability when required by written contract, agreement or permit executed prior to loss.
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
Attn: Blake Visser AUTHORIZED REPRESENTATIVE
PO Box 580
Fort Collins, CO 80522nvl Y
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
SR :D: 27273421 RArclt: 3828395
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