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Home My WebLink About- - (26) A`C ® 75128/2025 E(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 NONTACT AME: Heather Vencil Holmes Murphy &Associates PHONE 515-223-7006 arc No 2727 Grand Prairie Parkway EMAIL Waukee IA 50263 ADDRESS: hvencil@holmesmurphy.com INSURERS AFFORDING COVERAGE_ NAIL# INSURER A:American Contractors Insurance Company 12300 INSURED SEMCONPC INSURER B:The Continental Insurance Company 35289 SEMA Construction, Inc. 7353 S. Eagle Street INsuRER c:ACIG Insurance Agency _ 14554 Englewood, CO 80112 INSURERD:XL Insurance America Inc. 24554 INSURER E: INSURER F: f COVERAGES CERTIFICATE NUMBER:963006732 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. ADDL SUBAi - _ POLICY _- I POLICY it ILT R' TYPE OF INSURANCE LTR I WV POLICY NUMBER MM/DD/YYYY MM DD/YVVY LIMITS A X ! COMMERCIAL GENERAL LIABILITY GL25A00089 6/1/2026 6I1l2126 EACH OCCURRENCE $10,000,000 A I GL25600089 6/1/2025 6/1/2026HFNTED A CLAIMS-MADE ( X j OCCUR GL25C00089 6/1/2025 6/1/2026 I_PREMISES�Eaocwrrencol_ $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: !----I i GENERAL AGGREGATE $10,000,000 r--, PRO- I , -- ------------..�- -------_-- I POLICY X JECT LOO ( PRODUCTS-COMP/OP AGG $10,000,000 OTHER: — ---- $ — A AUTOMOBILE LIABILITY AL25000035 6/1/2025 1 6/1/2026 (a dBDtSINGLE LIMIT $5,000,000 --------------- X I ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY j LPer accident) r $ - _.._..--- -- ------ -- - - $ B UMBRELLA LIAB X I OCCUR CUE7033727217 6/1/2025 j 6/1/2026 EACH OCCURRENCE S10,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000,000 DED I RETENTIONS $ C WORKERS COMPENSATION WCA000028325 6/1/2025 1 6/1/2026 X STATUTE ERH C .AND EMPLOYERS'LIABILITY Y/N WCA000028425 6/1/2025 6/1/2026 ANYPROPRIETORiPARTNER/EXECUTIVE ❑ I E.L.EACH ACCIDENT $1,000,000 R OFFICEMEMBEREXCLUDED? NIA - - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1.000,000 11 yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000,000 D Excessta6lity -- US00141019L125A 6/112025 1_6/1/2026 Each OccurrencelAgg 15,000,000 - I ! i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) City of Fort Collins is included as an Additional Insured on the General Liability when required by written contract or agreement, per policy terms&conditions. 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. Attn'. Engineering Department 281 N College Avenue AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 USA Cno� 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 3888: 2 ` of 2