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Home My WebLink About120140 VARSITY FACILITY SERVICES - INSURANCE CERTIFICATE (5)A�� ® DATE (MM/DDIYYYY) `" CERTIFICATE OF LIABILITY INSURANCE 8/31/2018 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 NAME: Sherry Allen SilverStone Group PHONE 402 964-5644 (FAX No: 11516 Miracle Hills Drive WC. No, Fxty Suite 100 ADDRESS: sallen@ssgi.com Omaha NE 68154 ,..„e.1131 ,«„e,,,.,1 INSURED Varsity Contractors Inc dba Varsity Facility Services INSURER B : INSURERC: INSURERD: PO Box 1692 Pocatello ID 83204 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:455637274 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER '�. MM/DDIYYYY MWDD/YYYY LIMITS A X COMMERCIALGENERAL LIABILITY Y TC2J-GLSA1761B754-TIL18 9/1/2018 9/1/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE T OCCUR AMA E PREMISES Ea occurrence $ 500,000 X MED EXP (Any one person) $ Contractual Liab PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I I JECOT- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER. AUTOMOBILE LIABILITY Y TC2J-CAP1761B742-TIL18 9/1/2018 9/1/2019 COMBINEDSINGLELIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR ZUP21N26024-18-NF 9/1/2018 9/1/2019 EACH OCCURRENCE $19.000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $19,000,000 DED I X I RETENTION $ 10 000 $ A WORKERS COMPENSATION A AND EMPLOYERS' LIABILITY YIN TC2JUB-1761B698-18 TRJUB-1761 B705-18 9/1/2018 9/1,2018 9/1/2019 9/1,2019 X PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 rLeased/Rented Equipment I 660-8E647897-TIL18 9/1/2018 9/1/2019 Leased/Rented Equip $50,0000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If 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. GEK I II-IGA I E HULUEK CANCELLATION 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. AUTHORIZED RENTATIVE O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD