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Home My WebLink About120140 VARSITY FACILITY SERVICES - INSURANCE CERTIFICATE (4)ACORO® CERTIFICATE OF LIABILITY INSURANCE DA EIMM DD YYYYI 8/2812014 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 endorsements . PRODUCER SilverSlone Group 11516 Miracle Hills Drive Suite 100 CONT CT April Walker NAME: PHONE FA% Alc - - 6326 ADORess: a ifi gi m INSURERS AFFORDING COVERAGE NAIL 0 Omaha NE 68154 INSURER A:T V A URETY INSURED 15344 INSURER B:Tr V _ INSURER C:St. PaUl Fire And Marine I Varsity Facility Services Varsity Contractors, Inc. dba PO Box 1692 INSURER D: Pocatello ID 83204 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 1042456320 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. INSR LTR TYPE OF INSURANCE ADDLISUBRI INSR WVD POLICY NUMBER I MMIDDYIYIEFF YYY MOLIC EXP LIMITS B GENERAL LIABILITY Y TC2JGLSA176lB75414 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMI TO RENTED PREMISES Ea occurrence $500.000 CLAIMS -MADE a OCCUR MED EXP (Any one person) $/C PERSONAL &ACV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY X PRO- n LOC $ B AUTOMOBILE LIABILITY Y TC2JCAP1761B74214 /1/2014 /1/2015 EaaCeldedt 1000000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident ) $ X HIRED AUTOS X NON -OWNED PAUTOS PROer PPERT DAMAGE $ 8 C X UMBRELLA LIAB N OCCUR ZUP11 P9636213NF /1/2014 /1/2015 EACH OCCURRENCE $19,000,000 EXCESS LIAB CLAIMS -MADE 1 AGGREGATE $19,000,000 DED I X I RETENTIONS 10,000 S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If ANY PROPRIETOR/PARTNERMXECUTIVE OFFICERIMEIMBER EXCLUDED? N/A C2JUB17611369814 11/2014 /1/2015 X I WC STATU- OTH- E.L. EACH ACCIDENT E1,000,OOO E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) U yes, desaibe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT I $1,000,000 A Employee Theft 105667657 /1/2014 31112015 Limit $1,000.000 3rd Party $2,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional RereaAs Schedule, H more space is required) Additional Insured in favor of City of Fort Collins, its officers, agents and employees with respects to General Liability & Auto Liability coverages as required by written contract. 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. AU^THORIZED REPRESENTATIVE �� / ! WI.u.ekA ,t 1gRR.9n1n Arf1Rr1 Cr1RRr1RATIr1N All A..6se .eee—A ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD