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HomeMy WebLinkAboutO J Watson - Insurance Certificate �® CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) �' 2/20/2025 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 CO TACT CRS Insurance Brokerage PHONE Jesse Hull FAX 9780 S Meridian Blvd Suite 400 303-996-7800 A'C No):303-757-7719 Englewood CO 80112 ADDRIESS: jhullgcrsdenver.com INSURER(S)AFFORDING COVERAGE i NAIC# INSURER A: Pinnacol Assurance 41190 INSURED OJWAT-1 INSURERB:The Travelers Indemnity Co. I 25658 O J Watson Co Inc. DBA: OJ Watson Equip. CO INSURERC:Travelers Casualty Ins Co of 19046 5335 Franklin St INSURERD:Travelers Prop Casualty of AM _ 25674 _ Denver CO 80216 INSURER E: T INSURER F COVERAGES CERTIFICATE NUMBER:1792313170 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. POLICY EFF POLICY LTRI TYPEOFINSURANCE IND;WVDi POLICY NUMBER MWDD/YYYY MMIDDIYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y 6303W977482 3/l/2025 3/1/2026 EACH OCCURRENCE $1,000.000 I CLAIMS-MADE I X ' OCCUR DAMAGE TO RENTED — - --= i PREMISESjEaoccurrence $300,000 i I MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X! POLICY PRO- - ---- - - -- -- -- JECT i LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: C AUTOMOBILE LIABILITY Y BA3W98007A 3/1/2025 3/1/2026 COMBINED ISINGLE LIMIT $1,000,000 S- - ---)—--- -- X 1 ANY AUTO I BODILY INJURY(Per person) $ OWNED SCHEDULED i BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X ! HIRED X NON-OWNED I PROPERTY DAMAGE Par AUTOS ONLY AUTOS ONLY Per accident) $ DLJEXCESS ELLALIAB X OCCUR CUP3W981864 3/l/2025 3/1/2026 EACH OCCURRENCE $5,000,000 UAB MADEAGGREGATE $ X RETENTION$in fifinI $ A WORKERS AND EMPLO ERS'L ABILIITY YIN PENSATION 4066145 7/1/2024 7!1l2025 X STATUTE ERH i ANYPROPRIETOR'PARTNEPJEXECUTIVE ! E.L.EACH ACCIDENT $1,000,000 OFFICERMEMBEREXCLUDED? N/A' j(Mandatory In NH)It yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 , � '.. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 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 ACCORDANCE WITH THE POLICY PROVISIONS. O Box ns CO 80522 Fort Collins AUTHORIZED REPRESENTATIVE F 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1539: 2 ' o