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ACob
OR" CERTIFICATE OF LIABILITY INSURANCE
DATE IM/tole
1o/12/2018Y)
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 endorsements .
PRODUCER
Willis of Maryland, Inc.
c/o 26 Century Blvd
P.O. Box 305191
CONTACT
NAME:
PHONE FAX
1-877-945-7378 WC, No. 1-888-467-2378
E-MAIL
ADDRE • Cartificates@willis.com
INSURER(S)AFFORDING COVERAGE NAICA
Nashville, TN 372305191 USA
INSURER A: Underwriters at Lloyd's London 15792
INSURED �_._•_.�_ � --�--
Leidos Engineering LLC
INSURER B
----'
a wholly owned subsidiary of Leidos Holdings, Inc.
INSURER C:
INSURER D.
11955 Freedom Drive
Reston, vA 20190
INSURER E
INSURER F
t" AVERAGES CFRTIRCATE NUMBER.- W8503377 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.
FNSR`--------- _.TYPEOFINSURANCE
- - - -
�ADOL tIlnj OLICY EXP
LTR
POLICYNUMBER MKDD'9YYY I wo YYYY LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$
CLAIMS -MADE 1771OCCUR
PTED
A A f N
REMISES (Ea occu rence
$
MED EXP (Any one person)
$
PERSONAL& ADV INJURY
$
GENT AGGREGATE IMIT APu
PLIES PER:
GENERA�AqGREGATE
' POLICY rrLl PRO -
PRO.JECT lOC
PRODUCTS COMP OP AGG
�
$
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
_1Ea_ cdd91_1!h __-______
$
BODILY INJURY IPer person)
$
ANY AUTO
OWNED SCHEDULED
BODILY INJURY (Pet accident)
$
AUTOS ONLY AUTOS
HIRED NON -OWNED
! PROPERTY DAMAGE
$
AUTOS ONLY AUTOS ONLY
,-Iper..acid, !L,._._.__..,...._._.....,.
....-
i$
UMBRELLA LIAR - OCCUR
EACH OCCURRENCE _
;$
$
EXCESS UABCLAIMS-MADE
AGGREGATE _
DED RETENTION $
$
WORKERS COMPENSATION
PEROTH-
STATUTE �'� tR
ANO EMPLOYERS' LIABILITY YIN
-
$_
ANYPROPRIETORPARTNEW'EXECLRIVE
E.LEACH ACCIDENT
OFFICE R.TgEMBEREXCLUOED?
(Mandatory In NH)
N / A
I
LE.L DISEASE`EA EMPLOYEE
—
$
17 yes. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE POLICY LIMIT
! $
A Professional Liability
B080130966PIS 10/12/2018 10/12/20192ach Claim $25,000,000
Aggregats $25,000,000
DESCRIPTION OF OPERATIONS r LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached M more space is required)
Underwriters at Lloyds's London
(A F Beazley #623 & #2623)
Professional Liability Includes:
Contractors Pollution Legal Liability and Information Security & Privacy Liability.
Professional Liability inclusive of a $10M Aggregate Sublimit for Privacy Notification Costs.
City of Fort Collins
Attn: Pat Johnson
700 Wood Street
Fort Collins, CO 80521
GANGtLLA
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
%zAP'l
U 1988-2016 ACORD CORPORA I ION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
sn ID: 16890914 BATCH: 909466
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