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Home My WebLink About454406 BIOHABITATS INC - INSURANCE CERTIFICATE (5)ACORO►® CERTIFICATE OF LIABILITY INSURANCE DATE (M,YYY) 12/211201018 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. a/oNN Ext : (410) 832-7600 FAAc, No): (410) 832-1849 P.O. Box 219 E-MAIL ADDRESS: certs@kleinagencyllc.com INSURER(S) AFFORDING COVERAGE NAIC # Timonium MD 21094 INSURER A: The Charter Oak Fire Insurance Co. 25615 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 Baltimore MD 21211-1406 INSURERF: 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. INSR LTR TYPE OF INSURANCE AUUL INSD bULSK WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F OCCUR PREMISES Ea occurrence) S 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 PRO_ JECT❑LOC PRODUCTS-COMP/OP AGG $POLICY 2,000,000 Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS BA21_497391 01/01/2019 01/01/2020 BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTY DAMAGE Per accident $ AUTOS ONLY AUTOS ONLY $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 C EXCESS LIAB CLAIMS -MADE CUPOJ633531 01/01/2019 01/01/2020 DED RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ D ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA UBOJ634195 All States Ind VA. 01/01/2019 01/01/2020 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ G00, OOG Each Claim $5,000,000 Professional Liability/ E 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) Project: 7616 Wetland, River & Floodplain Ecological Restoration. See attached for specific additional insured wording 111094ilI Ial9_\I a i PJ 1111 U a it SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason St AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACC AGENCY CUSTOMER ID: 00005634 LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Klein Agency, LLC NAMED INSURED Biohabitats, Inc. POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS 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 is 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 is 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 the City of Fort Collins under the General Liability, 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 (2008101) U zoott ACUKL) cUKPUKAI IUN. AU rights reservea. The ACORD name and logo are registered marks of ACORD