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HomeMy WebLinkAbout102630 AYRES ASSOCIATES INC - INSURANCE CERTIFICATE (4)DATE (MM/DD�YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 12/16/2018 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 ONTACT NAMELL____ Sharon Bannach Arthur J. Gallagher Risk Management Services, Inc. PHONE _ �` _ Fnz'"�-v—""---- — 245 South Executive Drive, Suite 200 262-792-2214 (AIC, No:262-792-1712 Brookfield WI 53005 ADDRESS: Sharon_Bannach@ajg.com INSURED AYREASS-02 AYRES ASSOCIATES INC 3433 Oakwood Hills Parkway Eau Claire. WI 54702-1509 INSURERS) AFFORDING COVERAGE NAIC # URER A Travelers Property Casualty Co of America 25674 i URER B : The Travelers Indemnity Compan roof CT_ 1 25682 INSURER E : CCUVFRAGFS CFRTIFICATF NIIMRFR-47F71nA RFVISION NIIMRFR- 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. INSA OF INSURANCE TAD iti1131I POLICY NUMBER " _ .. _. _ MM IC YYYY MM DD/YYYY ,. _ LIMITS A x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 X I OCCUR Y j ( p6302183P260TIA19 1/1/2019 1!1/2020 EACH OCCURRENCE $1,000,000__ R $ 300.000_ I Mp EX (Any one person) $10,000 11. PERSONAL & ADV INJURY $ 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 T POLICY %( JE O LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y 81021_352245 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT $1,000,000 A BODILY INJURY (Per person) X ANY AUTO $ OWNED SCHEDULED AUTOS ONLY .AUTOS $ — —� BODILY INJURY (Per accident), X HIRED AUTOS ONLY X AUTOS ONLY L PROPERTY DAMAGE -- $ f $ A X UMBRELLALIAB X OCCUR CUP9J784097 1/1/2019 111/2020 EACH OCCURRENCE $8,000,000 AGGREGATE_ $ 8,000,000 EXCESS LIAR CLAIMS --MADE DIED X RETENTION $ n _ PrOCIUCIIS/CoMel $ 8,000,000 — B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICERMEMBEREXCLUDED? (Mandatory In NH) NIA UB9H9437751843E 1/1/2019 1/1/2020 X PER OTH- i STAT R_ _ V E.L. EACH ACCIDENT $ 1,000,000 E.L._DISEASE__- EA EMPLOYEE —" $1,000,000 P yes. describe under DESCRIPTION OF OPERATIONS below `—"— _ ' _ - E.L. DISEASE - POLICY LIMIT _ S 1,000,000 j i I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached It more space Is required) As respects 5-year open end contract agreement, City of Fort Collins, Colorado is included as an Additional Insured under the General Liability and Auto Policies. 1a13:1LL71aL'11:5:1a1lqa>3:. aL]t 1a13��_111a1►' City of Fort Collins PO Box 580 Fort Collins CO 80522-0580 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) The ACORD name and logo are registered marks of ACORD 2 of 2 15007