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Home My WebLink About454406 BIOHABITATS INC - INSURANCE CERTIFICATE (4)I ACORN CERTIFICATE OF LIABILITY INSURANCE �- DATE (MM/DD/YYYY) 12/21/2018 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: Klein Agency, LLC. pnHC No Ext : (410) 832-7600 ;A/c No) (410) 832-1849 E-MAIL certs@kleinagencyllc.com ADDRESS: P.O. Box 219 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : The Charter Oak Fire Insurance Co. 25615 Timonium MD 21094 INSURED INSURER B : Travelers Indemnity Co. Of CT 25682 Biohabitats, Inc. INSURER C : Travelers Property Casualty Company of America 25674 2081 Clipper Park Road INSURER D : The Phoenix Insurance Company 25623 INSURER E : Continental Casualty Company 20443 INSURER F : Baltimore MD 21211-1406 COVERAGES CERTIFICATE NUMBER: 19-20 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DID/YYYY MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F OCCUR PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10,000 Contractural Liability PERSONAL & ADV INJURY $ 1,000,000 A 660OJ612234 01/01/2019 01/01/2020 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X PRO LOC JECT F1 PRODUCTS - COMP/OPAGG $ 2,000,000 Employee Benefits s 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS BA21_497391 01/01/2019 01/01/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LIAB CLAIMS -MADE CUPOJ633531 01/01/2019 01/01/2020 AGGREGATE $ 10,000,000 DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A UBOJ634195 All States Ind VA. 01l01/2019 01/01/2020 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1, 000, 000 EL. DISEASE - EA EMPLOYEE $ 1,000.000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ if yes, describe under DESCRIPTION OF OPERATIONS below Each Claim $5,000,000 E Professional Liability/ Pollution Liability ECH288389268 01/01/2019 01/01/2020 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project - 1-25 Wetlands, Biohabitats Project # 12904-01 See attached for specific additional insured wording. rFRTIFIr ATF wni nF:p CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins, Colorado ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 508 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00005634 LOC #: ACUR" ADDITIONAL REMARKS SCHEDULE 111.� Page of AGENCY Klein Agency, LLC NAMED INSURED Biohabitats, Inc. POLICY NUMBER CARRIER TAIC CODE 771 EFFECTIVE DATE: ADDITIONAL REMARKS ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 30 FORM TITLE: Certificate of Liability Insurance: Notes If required under an insured written contract, executed prior to any loss, City of Fort Collins, Colorado are an Additional Insured under the General Liability Policy, but only with respects to liability arising from work performed by or on behalf of Biohabitats, Inc. If required under an insured written contract, executed prior to any loss, City of Fort Collins, Colorado are an Additional Insured under the Automobile Policy, but only with respects to liability arising from the operation of vehicles by employees of Biohabitats, Inc. If required under an insured written contract, executed prior to any loss, Waiver of Subrogation is provided for City of Fort Collins, Colorado under the General Liability, Automobile Liability and Workers Compensation Policies. It is further understood that coverage provided the Additional Insured under the General Liability and Automobile Liability shall be primary and non-contributory to any other coverage available to the Additional Insured. ACORD 101 (2008/01) U 2008 AGURD GURPURATIUN. All rights reserved. The ACORD name and logo are registered marks of ACORD