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A
C" CERTIFICATE OF LIABILITY INSURANCE F5/2312025
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
IMA, Inc. -Colorado _NAME: IMA Certificate Team
PHONE _ -- -- -- X
1705 17th Street, Suite 100 1121 XC No:
Denver CO 80202 ADMDRESS: cerfificates@imacorp.com
_ INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA:Amerisure Insurance Company 19488
INSURED SPYDCON•01 INSURER B:Amerisure Mutual Insurance Company 23396
Spyder Construction LLC -----
7550 S Grant Street, Suite B INSURERC: Indian Harbor Insurance Company 36940
Littleton CO 80122 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1846565035 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.
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ILTR TYPEOFINSURANCE ADDDLIWt18DRl POLICY NUMBER - MIAlDD/YYFF I M/DD/YYYY LIMITS
A X ' COMMERCIAL GENERAL LIABILITY CPP21234770 6/1/2026 6/1/2026 EACH OCCURRENCE $1,000,000
—1 � �I A A TO RENT D
J CLAIMS-MADE I " 1 OCCUR PREMISES(Eaoccurrencel $1,000,000 `
IVIED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
X POLICY PRO.
JECT LOC PRODUCTS-COMP/OPAGG $2,000,000
OTHER: $
A AUTOMOBILE LIABILITY CA21234780 6/1/2025 6/1/2026 COMBINED SINGLE LIMIT $1,000,000
JX ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED accident)AUTOS ONLY AUTOS BODILY INJURY(Per $
X HIRED X NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY �Per_aeclden�. $
B X UMBRELLA LIAB X OCCUR CU21234760 6/1/2025 i 6/1/2026 EACH OCCURRENCE $5.000.000
EXCESS LAB _ CLAIMS-MADE
_ AGGREGATE _ $5,000,000
DED ; X I RETENTION$ $
A AND EMPSCOMP N ATIIOIN Y/N WC2123475 6/1/2025 6/1/2026 X PTAT TE ERH
ANYPROPRIETORlPARTNER/EXECUTIVEOFFICE Y E.L.EACH ACCIDENT $1,000,000
(Manila ory In EMBER EXCLUDED? N/ E.L.DISEASE-EA EMPLOYEE $1,000,000
(Mandatory In NH)
II yes,describe under
DESCRIPTION OF OPERATIONS be E.L.DISEASE-POLICY LIMIT $1,000,000
C Contractor's Pollution Liability PECO06593601 6/1/2025 6/1/2026 i Aggregate $2,000.000
Each Occurrence $1,000,000
Deductible $15,000
I i
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Excess 2nd Layer Liability Coverage: Policy#AR6461985
Effective Dates 6/1/2025-6/1/2026 Insurer.Colony Insurance Company
$5,000,000 Each Occurrence;$5.000,000 Aggregate
Professional Liability Coverage: Policy#PEC006593601
Effective Dates 6/l/2025-6/1/2026 Insurer: Indian Harbor Insurance Company
$1,000,000 Occurrence;$2,000,000 Aggregate;$15,000 Deductible
See Attached...
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.
Building Services
281 N College AUTHORIZED REPRESENTATIVE
Fort Collins CO 80524 _
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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