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Home My WebLink About132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (22),AcoCERTIFICATE OF LIABILITY INSURANCE DATE (N 30/20W14 DDIYYYY) 9/0/20RO® 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 USI Colorado, LLC Prof Liab 1515 Wynkoop Street .Suite 200 CONTACT NAME: PHONE FA% - ac Na: 303.831.5295 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC C Denver CO 80202 INSURER A: arter Oak Fire INSURED CTLTHO INSURERS: Ind mn25658 INSURER C:P nnacol Assurance CTL / Thompson, Inc. 7306 S. Alton Way Centennial CO 80112QUA— INSURERD: r f I In INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1280840319 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 rypE OF INSURANCE INSR MD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DI Y'YYY LIMITS A GENERAL LIABILITY Y V 5802C991762 10/1/2014 0/1/2015 EACH OCCURRENCE $1,000.000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE aOCCUR PREMISES Ea occu ence $1,000,000 MED EXP(My one person) $10,000 PERSONAL A ADV INJURY $1,000,000 GENERAL AGGREGATE $2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $2,000,000 POLICY X PRO LOC $ A AUTOMOBILE LIABILITY Y Y 8101175R522 10/1/2014 10/1/2015 Ea accitlenl 1000000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par accident) $ HIREDAUTOS JX NNOWOWNEDAUTOS X PeOxma ntDAMAGE $ $ B X UMBRELLA LIAR X OCCUR Y Y CUP30002974 10/1/2014 0/1/2015 EACHOCCURRENCE $8,000,000 AGGREGATE $8,000,000 EXCESS LIAR CLAIMS -MADE OEO X I RETENTION$ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA Y 180512 10/1/2014 O/l/2015 X VJC STATU- OTH- E.L. EACH ACCIOENi $500,000 E.L. DISEASE-EAEMPLOYE $500,000 (Mandatory In NH) V yes, describe under DE SCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $500.000 D Professional Liability Claims Made LSLPR026233614 10/1/2014 0/1/2015 Per Claim $2,000.000 Annual Aggregate $4,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space Is required) As reqyuired by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certitificate holder and owner are included as Automatic Additional Insured's for ongoing and Completed operations under General Liability; Designated Insured under Automobile Liabilityl; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured;s work performed on behalf of the certificate holder and owner. The General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability Policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. Additional Insured: City of Ft. Collins, Purchasing Division City of Ft. Collins; Purchasing Division 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 1988-2010 ACORD CORPORATION. All rights reserved. Al VKU 20 (ZUTUIUD) the ACORD name and logo are registered marks of ACORD