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Home My WebLink About384625 PROPERTYROOM.COM - INSURANCE CERTIFICATEPROPERT-01 ALOUCK ,a►��zo CERTIFICATE OF LIABILITY INSURANCE DAM 4MWDDi4 YI 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($), 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 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 endomement(s). PRODUCER License # 0252636 Guardian Risk & Insurance Services P.O. Box 55127 Riverside, CA 92517 CONTACT PHTNEe. ,(951) 368-0700 No: (961) 368-0707 EMAIL ADDRESS: INSURER B AFFORDING COVERAGE NAIC B INSURER A:Burlington lnsuranceCom 23620 INSURED 6201 PropertyRoom.com /Vn 5257 Buckeystown Pike, Suite 475 Frederick, MD 21704 INSURERS: Scottsdale Insurance Company 41297 INSURER c: Travelers Casualty & Surety Co. of America 31194 INSURER D: INSURER E: INSURER F: CnVFRAGFS 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. INSIR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY MMIDDIYYSYY LIMBS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X] OCCUR X 263SW27737 0410212014 0410212015 EACH OCCURRENCE E 1,000,00 PREMISES aocwnerce S 100,00 NED UP (Any one person S 1,00 PERSONALS ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ jECT LOC OTHER: GENERAL AGGREGATE $ Z000,00 PRODUCTS -COMPIOPAGG E 2,000,00 E AUTOMONLE LMBI1m ANY AUTO ALLY EO SCHHOESDULED NON -OWNED HIREDAUTOS AUTOS e laccidersOI E BODILY INJURY (Per pence) E BODILY INJURY (Per eoddent) S ERTY DAMAGE low soddenh E E B X UMBRELLA LU1B EXOESS LIAR X BUR CLAIMS -MADE XLS0092446 04/0212014 04102/2015 EACH OCCURRENCE E 6,000,00 AGGREGATE E DED X RETENTION$ E 5,000,00 WORKERS COMPENSATION AND EMPLOYERS' LIABItJTY YIN ANY PROPRIETORNARTNERIEXECUTIVE ❑NIA OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Use descnoe under DESCRIPTION OF OPERATIONSbelox ISTATUTE ER E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE E E.L. DISEASE -POLICY UNIT S C Crime 106943928 06/06/2013 06/0612014 $25,000 Deduedble 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, my M attached it more space Is requited) City of Fort Collins, its officers, agents and employees are named additional insured per attached policy form. City of Fort Collins 215 North Mason Street 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 F V 1986-ZO14 AGVKU UUKYUKA I IUN. A11 rignts reserves. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSUREDS BY WRITTEN CONTRACT, WRITTEN AGREEMENT OR PERMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to 3. To any engineer, architect or surveyor if include as an additional insured any person(s) the "bodily injury", "property damage" or or organization(s) with whom you agreed, "personal and advertising injury" arises out because of a written contract, written of the rendering of or the failure to render agreement or permit, to provide insurance any professional services by or for you, such as is afforded under this Coverage Part, including: but only: a. The preparing, approving, or falling to 1. With respect to liability for "bodily injury", prepare or approve maps, drawings, "property damage" or "personal and opinions, reports, surveys, change advertising injury" caused by "your work" or orders, designs or specifications; or maintenance, operation or use of facilities owned or used by you; and b. Supervisory, inspection or engineering services. 2. When such written contract, written agree- ment or permit is fully executed prior to an 4. To any: "occurrence" in which Coverage is sought under this policy. a. Owners or other interests from whom land has been leased; or B. With respect to the insurance afforded these additional insureds, the following additional b. Managers or lessors of premises if: exclusions apply: (1) The "occurrence" takes place after This insurance does not apply: you cease to be a tenant in that premises; or 1. To any person or organization included as an insured by an endorsement issued by (2) The "bodily injury", "property us and made part of this Coverage Part. damage" or "personal and advertising injury" arises out of 2. To any lessor of equipment if: structural alterations, new construction or demolition a. The "occurrence" takes place after the operations performed by or on equipment lease expires; or behalf of the manager or lessor. III. The "bodily injury", "property damage" 5. To any person or organization included as or "personal and advertising injury" an insured under Paragraph 3. of Section arises out of the sole negligence of the 11- Who Is An Insured. lessor. GSG-G-010 08 D9 Includes copyrighted material of Page 1 of 1 ISO Properties, Inc., with its permission.