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Home My WebLink About132158 CTL/THOMPSON INC - INSURANCE CERTIFICATE (23)Client#: 1082473 CTLTHO DATE (MM/DD/YYYY) ACORD.. CERTIFICATE OF LIABILITY INSURANCE 9/28/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: US[ Colorado, LLC Prof Liab PHONE g00 873-8500 FAX A/C No Ext : A/C, No): P.O. Box 7050 E-MAIL ADDRESS: Englewood, CO 80155 INSURER(S) AFFORDING COVERAGE NAICIt 800 873-8500 25674 INSURER A :Travelers Property Cas. Co. of America INSURED CTL / Thompson, Inc. 7306 S. Alton Way Centennial, CO 80112 INSURER B : Travelers Indemnity Company _ 25658 INSURER C : Pinnacol Assurance Company 41190 INSURER D : Start Surplus Lines Insurance Company 13604 INSURER E : Charter Oak Fire Insurance Company 25615 COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTpR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MM1DDD�YF MM/DDIYYYY XP LIMITS A X COMMERCIAL GENERAL LIABILITY X X 6806HI99682 10/01/2018 10/01/2019 EACH OCCURRENCE $1000000 CLAIMS -MADE � OCCUR PREMISES (Ea occu ence $1,000,000 MED EXP (Any one person) $10 000 PERSONAL BADVINJURY $1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY F_X1 JECT LOC PRODUCTS -COMP/OP AGG $ 2,000,000 Is OTHER: E _ AUTOMOBILE LIABILITY X X _ 8101175R522 0/01/2018 10/01/201 Ee aoSINGLE LIMIT cide, 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SAUTOS CHEDULED AUTOS ONLY _ HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR X X CUP3CO02974 0/01/2018 10/01/2019 EACH OCCURRENCE $8 000 000 AGGREGATE $$ 00O 000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N/A X _ 180512 0/01/201810/01/201 X STATUTE FPER ORH- E.L. EACH ACCIDENT $500OOO E.L. DISEASE - EA EMPLOYEE $5OO OOO It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 D Professional Liab SLSLPRO12153618 0/01/2018 10/01/201 $2,000,000 per claim Incl. Pollution $4,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insureds under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. (See Attached Descriptions) City of Fort Collins PO 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S23973587/M23954430 SBCZP