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HomeMy WebLinkAbout120140 VARSITY FACILITY SERVICES - INSURANCE CERTIFICATE (2)Client#: 207724 32VARFACI ACORD,. CERTIFICATE OF LIABILITY INSURANCE D01109/2014ATE Y1 01/0912014 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(les) must be endorsed. If SUBROGATION IS WANED, 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 Hub Int'I. Mountain States Ltd PO Box 968 10 West Judicial Street Blackfoot, ID 83221 CONTACT NAME: PHONE LAIC No xt: 208.522-1260 2F'�— 08-522.1267 EAA:, No: E-MAIL ADDRESS: INSURER(S) a Property CasuaRIG lty INSURER A: Travelers Property Casualty Co 74 25674 INSURED Varsity Facility Services / Varsity Contractors, Inc dba 120I4 0 PO Box 1692 INSURERS: St Paul Fire and Marine Insuran 24767 Travelers Casual and Sure C INSURERC: Casualty Surety 19038 INSURER D: Pocatello, ID 83204 INSURER E: 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADD L B POLICY NUMSER POLIC MMIDOY E P L Y EIfP MMID LETS A GENERALLIABLITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR x TC2JGLSA1761B75413 TC2JCAP1761B74213 9/01/2013 0910M01A EACH OCCURRENCE $1 000000 PREMISES EeEONcwT�mnn $500000 MED EXP(Any one person) sN/C PERSONAL S ADV INJURY $1000000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OPAGG 52000,000 $ A AMOMOWLELIABILITY X X ANY AUTO ALL OWNED SCHEDULED AUTOS HIRED AUTOS X NONOWNED AUTOS 9/01/2013 09/01/201 � INED SINGLE apt LIMIT 1,000,000 _ $ BODILY INJURY (Per pence) BODILY INJURY (Per aaldent) ItAUTOS $ PROPERTYAGE Per ctl 1 S B X UMBRELLAL" EXCESS LIAR OCCUR CLAIMS -MADE ZUP11P9636213NF 9/01/2013 09/01/2014 EACHOOCURRENCE $19000000 N AGGREGATE $19 000 000 DED X RETENTION $1 0000 IS A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Myaendatory In NH) DESCRIPTION OPERATIONS bIo-a NIA TC2JUB1761B69813 _ 105667657 9/01/2013 09/0112014 X WCSTATU- OTrb E.L. EACH ACCIDENT $t 000 000 EL. DISEASE -EA EMPLOYEE $1000000 EL. OISEPSE- POLICY LIMIT $1000000 C Employee Theft 9101/2013 09/011201 Llmh $1,000,000 3rd Party $2,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is reRuired) Certificate holder, City of Fort Collins, its officers, agents and employees are covered in accordance with the terms of the General Liability Blanket Additional Endorsement CGD246. City of Fort Collins Doug Clapp - Senior Buyer P.O. Box 580 Fort Collins, CO 80522 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 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of t #S502750/M419768 The ACORD name and logo are registered marks of ACORD THA2