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Home My WebLink AboutSPORT COURT OF THE ROCKIES LLC - INSURANCE CERTIFICATEDATE (MM/DD/YYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 8/28/2018 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 have ADDITIONAL INSURED provisions or 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 CONTACT Arthur J. Gallagher Risk Management Services, Inc. -NAME: PHONE - — FAx 3005 Center Green Drive Suite 120 A/c No t • 303-444-4666 A c No): 303-444-8481 Boulder CO 80301 ADDRESS: INSURER A: Travelers Property Casualty Co of America 25674 INSURED SPORCOU-01 INSURERS: Pinnacol Assurance Company 41190 Sport Court of the Rockies LLC INSURER c : Travelers Casualty Insurance Co of America 19046 5740 E. County Line Place #2 Highlands Ranch CO 80126 INSURER D: Travelers Indemnity Company 25658 INSURER E : rn1/G0A!_FC CFRTIFICATF NIIMR1=R-"A1Arn;,r RFVIRInN NtIMRER- 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, ILTIR TYPE OF INSURANCE ADUDL SUBRI POLICY NUMBER MM/LICYYFF M LID/YYYY OMITS LTR A X COMMERCIAL GENERAL LIABILITY 16601CO06885TIL18 5/24/2018 5/24/2019 EACH OCCURRENCE $1,000,000 Fv� CLAIMS -MADE OCCUR DAMAGE TO RENT PREMISES Ea occurrence $300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � JET LOC PRODUCTS - COMP/OP AGG $ 2,000,ODO $ OTHER: C AUTOMOBILE LIABILITY BAlCO07372 5/24/2018 5/24/2019 COMBINED SINGLE LIMIT Ea accident $1000000 BODILY INJURY (Per person) $ ANY AUTO X OWNED X SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ D X UMBRELLALIAa X OCCUR CUP1C00781A 5/24/2018 5/24/2019 EACH OCCURRENCE $2,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE $ 2,000,000 DED I X I RETENTION$ 5,ow$ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y /❑N 4158255 9/1/2018 9/1/2019 TH X S TATUTE OR $1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER'MEMBER EXCLUDED? (Mandatory in NH) N /A E.L. DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Equipment ISWlCODS585TIL18 5/24/2018 5/24/2019 Rented/Leased Deductible $150,000 $5DO DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: 8498 Tennis Court Maintenance & Renovation On -Call CERTIFICATE HOLDER CANCELLATION City of Fort Collins Financial Services, Purchasing Division 215 N. Mason Street, 2nd Floor PO Box 580 Fort Collins CO 80522 USA 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 / 17 19RA-2n15 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD