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Home My WebLink About287763 TRAUTMAN & SHREVE INC - INSURANCE CERTIFICATEA o® CERTIFICATE OF LIABILITY INSURANCE lls�09n6 DATE12011 YYVr) 2011 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 be endorsed. It 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 endorsements . PRODUCER MARSH USA, INC. ATTN: CHRISTINE CAYO 601 MERRITT 7 NORWALK, CT 06856 - CONTACT NAME: PHONE FAX C A/C No E-MAIL ADDRESS Ann: EmCar.Certrequesl@marsh.com I Fax: 203-229 6787 INSURERS AFFORDING COVERAGE NAIC INSURER A : Continental Casualty Company 20443 888715-EMC-TRA91-12 INSURED TRAINSURER TMAN& SHREVE, INC. e : American Casualty Canpany Of Reading, Pa 20427 INSURER C : Transportation Insurance Co 20494 4406 RACE STREET 406 R DENVER, CO 80216 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-005873095-27 REVISION NUMBER' 2 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. - INSR Lm TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBEfl POLICY EFF flMMrDDNYYYJ POLICY EXP (IMMIDDIYYYY)LIMITS A GENERAL LIABILITY GL 2095786635 1WO112011 1010112012 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ifl OCCUR RENTED PREM-DAMAISES PREMISES Ea occurrence S 1000000 MED EXP (My one person) $ 25•60° PERSONAL a ADV INJURY $ 4W0,000 - GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 14,000,000 POLICY X PRO- LOG $ A AUTOMOBILE LIABILITY BOA 2095786697 10101/2011 10101/2012 COMBINED SINGLE LIMIT Ea accident) 2 BODILY INJURY (Per person) $ ANY AUTO ALLOWNED SCHEDULEDAUTOS AUTOS IX RODILY INJURY IPer accident1 $ NON -OWNED HIREDAUTOS N AUTOS PROPERTY DAMAGE Per accident) $ Auto Physical Damage $ Included A X UMBRELLA LIAR X OCCUR L 2068208285 10/01I2011 1010112012 EACH OCCURRENCE $ 5,000.000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 $ B WORKERS COMPENSATION WC 2095786604 (AOS) 1010112011 10101/2012 X I WC STATU- OTH- C 8 AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER,EXECUTIVE Y / N OFFICERIMEMBER E%CLUDED? E (Mandatory in NH) n yes, dasianno under DESCRIPTION OF OPERATIONS below N/A WE 2095786621 (AZ,OR,WQ WC 2095786618 (CA) 10/01I2011 10101/2011 1010112012 10/01/2012 EL EACH ACCIDENT § 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,GOO E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more Space is required) Re: all operations. tlditional insureds under all policies (except WorkersComp) where required by contract: City of Fan Collins. City of Fort Collins 300 Laporte Avenue FOR Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Heidi Bauermeister _`//gear, ,,Afe.(410w� ®1988-2010 ACORD CORPORATION- All rinhre ,...wort ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 888715 LOCH: Norwalk A 40 ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH USA, INC. NAMED INSURED TRAUTMAN & SHREVE, INC. 4406 RACE STREET DENVER, CO 80216 - POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Auto Physical Damage Camp I Coll Deductible $500 In the event of cancdlatim or material change mat reduces or restricts the insurance afforded by this Coverage Pan (dher than the reduction of aggregate limits through payment of claims as applicable), Insurer agrees to mail priof written notice of cancellatim or material change to: Certificate Holder - Schedule 1. Number of days advance notice: For any statutorily permined reason other than non-payment of premium, the number of days required for notice of cancellation as provided in paragraph 2 of either the Cancellation Common Policy Conditions or as amended by the applicable state cancellimm endorsement is increased to the lesser of 60 days or the number of days required in a written contract. For nonpayment of premium, The greater of (1) the number of days required by state law or (2) the number of days required by written contract. 2. Name: Notice will be mailed to: CeNticale holder ACUHU 1U1 (20(15/1311) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD