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MEAD & HUNT INC - INSURANCE CERTIFICATE
MEADHU1 OP ID: MR A� CERTIFICATE OF LIABILITY INSURANCE DATE/ _F 11/19/19/2018Y) 018 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 608-257-3795 CONTACT Phil Hausmann, CIC NAMHausmann-Johnson Insurance Inc PHONE 608-257-3795 FAX 608-257-- 4324 700 Regent St., PO Box 259408 (Arc, No, Ext): (A/c, No Madison, WI 53725-9408 E-MAIL Phil Hausmann INSURED Mead & Hunt, Inc. M&H Architecture, Inc. Mead & Hunt Companies, Inc. Mead & Hunt International, Inc 2440 Deming Way Middleton, WI 53562-1562 F: Travelers Casualty & Su 19038 COVERAGES CERTIFICATE NUMBER: ZU18 REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH OF INSURANCE PERTAIN, POLICIES. LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN N ISSUED TO CONTRACT THE POLICIES REDUCED BY THE INSURED OR OTHER DESCRIBED PAID CLAIMS. NAMED ABOVE FOR THE DOCUMENT WITH RESPECT HEREIN IS SUBJECT TO POLICY PERIOD TO WHICH THIS ALL THE TERMS, INSR' LTR TYPE OF INSURANCE ADDL SUB WVDPOLICY NUMBER P6305C656013TIL18 - POLICY EFF MM/DD/YYYYf_ 12/01/2018 -- POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rX OCCUR 12/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ❑X J �X LOC GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) 1,000,000 $BODILY ANY AUTO AUTOS ONLY AUTOSOWNED P8106C1614441ND18 12/01/2018 12/01/2019 X INJURY Per person) BODILY BODILY INJURY Per accident $ X PROPERTYDAMAGE Peraccident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY CUPOK3011011743 A X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE 12/01/2018 12/01/2019 EACH OCCURRENCE $ 9,000,000 AGGREGATE 9,000,000 DED I X FRETENTION $ 0 X I PER OTH- T UB8J3173931743VWI UB8J2154321743E-OTH STAT A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 0 (Mandatory OFFICER/MEMBER EXCLUDED? ( yes, d o If yes, describe under DESCRIPTION OF OPERATIONS below N 1 A 12/01/2018 12/01/2018 12/01/2019 12i01/2019 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C PTIQ N OF OP TION / L CATIONS / V FIICLES ( ORD 101, ditio I R ar chedule, may, e a shed if more space is required) o" ern G€o�orac o �eglonal 1lrport�laster an uc�y'. lien spec) ied In written contract, the City of Fort Collins & City of Loveland as Additional Insured with respect to Commercial General Liability and Commercial Auto Liability on a Primary & Non -Contributory basis. FORTCOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD