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Home My WebLink About504813 BRIERLEY ASSOCIATES LLC - INSURANCE CERTIFICATEBRIEASS-01 KPAWLOWSKI , tt. / f7 CERTIFICATE OF LIABILITY INSURANCE �/� DAT914120 3 ) 9/4/2013 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. 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 endorsemen s). PRODUCER Ames & Gough 859 Willard Street Suite 320 Quincy, MA 02199 CONTACT NAME: PHONE FAX AIC No B,d,(617) 328 6555INC, No: (617) 328-6888 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC0 INSURER A: Transportation Insurance Company A(XV) 20494 INSURED INSURER B:American Casualty Co of Reading, PA A(XV) 20427 Brierley Associates, LLC INSURER C:Valley Forge Insurance Company A(XV) 20508 990 South Broadway Suite 222 Suite INSURER O: Lexington Insurance Company 19437 INSURER E: Denver, CO 80209 INSURER F : COVERAGES CERTIFICATE NUMBER: 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. RUIN LTR TYPE OF INSURANCE SUBA POLICY NUMBER POLICY EFF MMID POLICY EXP AMID UNITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE. 111 OCCUR. X X 4031487681 411/2013 4/112014 PREMISES JEa ocw,reze E 300,00 MED FXP (Any one Verson) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 . GENERAL AGGREGATE E 2,000,00 q ` GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG E 2,000,00 -' - X POLICY X PRO- LOC - E AUTOMOBILE UABILITY COMBINED SINGLE LIMIT Ea acadeM S 1,000,00 X BODILY INJURY (Per person) 4 B ANY AUTO X X 4031487678 41112013 '411I2014 AOSCHEDULED AUTOS AUTOS BODILY INJURY (Per accident ) E HIRED AUTOS X NON-0WNED AUTOS X -PROPERTY DAMAGE Perer aodd accident E E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE LIED I RETENTIONS S C WORKERS COMPENSATION AND EMPLOYERS' UABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? O (Mandatory In NH) If yes, das toe ur dl r DESCRIPTION OF OPERATIONS Eel. NIA X 4031487759 4I112013 41112014 X I NGSTATU- OTH- L EEACH ACCIDENT t 1,000,00 E.L. DISEASE - EA EMPLOYEE E 1,000,00 EL DISEASE - POLICYLIMIT E 1,000,00 D Prof. Liability 017082109 4/112013 4/1/2014 Per Claim 1,000,00 D 017082109 41112013 4N12014 Aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Rentorka Schedule, If rnore apace h required) RE: High Park Fire Debris Flow Mitigation City of Fort Collins, its officers, agents, and employees are additional insured with respect to general and auto liability where required by written Contract. General Liability, Auto, and Worker's Comp. policies include a Waiver of Subrogation in favor of the certificate holder. Brierley Associates, LLC will endeavor to mail ten days notice of cancellation Wor material change in accordance with policy terms and conditions. City of Fort Collins 215 North Mason Street Fort 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. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD All rights mservPd