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Home My WebLink About495925 HAYS COMPANIES - INSURANCE CERTIFICATE (4)�..�. CERTIFICATE OF LIABILITY INSURANCE / DATE of/16/216/zo15ls 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 endorsement(s). PRODUCER --- 1-612-333-3323 Hays Companies COOMNTTACT Melody Eronbach or Ellen Day.NA- FN AIM. t_ 612-333-3323. AC Neu 612-373-7270 80 South eth Street E-MAIL Bcom mkronbach@ha anieB.com ADDRESS: Y P INSURERS AFFORDING COVERAGE NAIL# Suite 700 INSURER A: HARTFORD UNDERWRITERS'INS CO 30104 Minneapolis, MN 55402 INSURED INSURER B: SENTINEL INS CO LTD 11000 Hays Companies INSURER C : HARTFORD CAS INS CO 29424 INSURER D: HARTFORD ACCIDENT & IND CO 22357 80 South 8th Street, Suite 700 INSURER E: HARTFORD FIRE IN CO 19682 INSURER F: Minneapolis, MN 55402 COVERAGES CERTIFICATE NUMBER: 42796327 REVISION NIIMRFR- 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 OF, 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 ADDL BUBB POLICY NUMBER POLICY EFF MMIDD/YYVV POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE FT OCCUR 41UUNKW8239 01/19/15 01/19/16 EACH OCCURRENCE $ 1,000,000 AMAG TOR NT D PREMISES Ea occurrence 8 1, 000, 000 MED EXP(Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENT X AGGREGATE LIMIT APPLIES PER: POLICY❑JE� 7LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 - $ OTHER: B AUTOMOBILE LIABILITY 41UUNKW8239 01/19/15 01/19/16 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ MY AUTO ALL OWNED SCHEDULED AUTOS AUTOS - BODILY INJURY Per acdtlen[ ( I $ X HIREDAUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident) $ - X _ g COMP/COLL C X UMBRELLA LIAR 1 X OCCUR 41XHUKW5423 01/19/15 01/19/16 EACH OCCURRENCE $ 25,000,000 AGGREGATE g 25, 000, 000 EXCESS LIAR CLAIMSMADE DED I X I RETENTION$ 10,000 S D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? � NIA 41WEBP7463 01/19/15 01/19/16 X I STATUTE I ERH OT- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYE $ 1, 000, 000 (Mandatory In NH) It yes, describe under E.L. DISEASE -POLICY LIMIT $ 1,000, 000 DESCRIPTION OF OPERATIONS below 7perty 41UUNKWO239 01/19/15 61/19/16 Property 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, agents and employees shall be named as additional insureds on the general liability and automobile liability policies, where required by writen contract. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 �� I USA C) 19RR-201A ACORO CORPORATION All rin Hla rnanm,nrl ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD EDay a000coon