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HomeMy WebLinkAbout- - (37) A CERTIFICATE OF LIABILITY INSURANCE DATE(MM O5/29/2025 Y) 025 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!, 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 C Aon Risk Insurance Services West, Inc. NAME: .O San Francisco CA office (A/C.No.Ext): (866) 283-7122 FAX (800) 363-0105 y 42S Market Street E-MAIL X. :No. O Suite 2800 ADDRESS: p San Francisco CA 94105 USA = INSURER(S)AFFORDING COVERAGE NAIC p INSURED J.D. Power INSURER A: National Fire Ins. CO. Of Hartford 20478 3200 Park Center Drive, 13th Floor INSURERB: The Continental insurance Company 35289 COStd McSd CA 92626 USA INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 576112865989 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED REVISION ABOVE NUMBER: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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYIFF YY MM/DD/Y X LIMITS X COMMERCIAL GENERAL LIABILITY General Lldblllt EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR Y DAMA PREMISES Eaoccurrence $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: 01 X POLICY ❑PRO �LOC GENERAL AGGREGATE $2.000,000 PRODUCTS-COMP/OP AGG $2,000,000 c00v OTHER: A AUTOMOBILE LIABILITY 7039415681 05/30/2025 05/30/2026 COMBINED SINGLE LIMIT Ea accident $1,000,000 X ANY AUTO OWNED SCHEDULED BODILY INJURY(Per person) O Z AUTOS ONLY AUTOS BODILY INJURY(Per accident) y HIRED AUTOS NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident) V Comprehensive Deduct $1,000 UMBRELLA OCCUR IL EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION B WORKERS COMPENSATION AND 70394156 5 OS 0 2025 OS 3 2026 X PER STATUTE oTH- EMPLOYERS'LIABILITY workers com -A05 0 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N p OFFICERWEMBER EXCLUDED? I N/A 7039415700 05/30/2025 OS/30/2026 E.L.EACH ACCIDENT $1,000,000 (Mandatory inNfq workers comp - CA If yes,describe under p E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000— DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 701,Additional Remarks Schedule,may be attached if more space is required) The City of Fort Collins, Colorado, a Municipal corporation, is officers, and employees are included as Additional Insured as respects to General Liability and Auto Liability 1� CERTIFICATE HOLDER CANCELLATION y ' o SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE y_- EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. g City Of Fort Collins AUTHORIZED REPRESENTATIVE c4 Attn: Purchasing Dept. PO Box 580 Fort Collins CO 80522 USA tXf09l i��G�i¢��sd6Gtll�tQS e./GIi14fYd /'i'Gd�✓� g -- o ACORD 25 2016/03 ©1988-2015 ACORD CORPORATION.All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD