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579219 BROWN & BROWN OF COLORADO INC - INSURANCE CERTIFICATE
_—ACOR©® CERTIFICATE OF LIABILITY INSURANCE �� DATE (MMIDDIYYYY) 01/09/2019 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 Brown &Brown of Florida, Inc. 220 South Ridgewood Avenue Daytona Beach FL 32114 CONTACT Laurie Kohler NAME: aI/CNN Ext . (386) 239-7242 FAX No): (386) 323-9159 ADDRESS: Ikohler@bbdaytona.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Travelers Property Casualty Company of America 25674 INSURED BROWN & BROWN INC ETAL Po BOX 2412 Daytona Beach FL 32115 INSURER B : The Continental Insurance Company 35289 INSURER C : XL Specialty Insurance Company 37885 INSURER D : INSURER E : INSURER F : COVERAGES CFRTIFICATE NUMBER: 2019-20 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 I LTR TYPE OF INSURANCE AUULSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDAIVY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 A TC2JGLSA9527B87419 01/01/2019 01/01/2020 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG$ 2,000,000 X ❑PRO POLICY JECT❑ LOC OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY H AUTOS ONLY rXX TC2JCAP9527B86219 01/01/2019 01/01/2020 PROPERTY DAMAGE Per accident $ Combined single limit $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE 6011849429 01/01/2019 01/01/2020 AGGREGATE $ 5,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFPICER/MEMBEREXCLUDED? (Mandatory in NH) NIA TC2JUB9517658019 01/01/2019 01/01/2020 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,U UU If yes, descritw under DESCRIPTION OF OPERATIONS below LIMIT 20,000,000 C INS AGENTS E&O ELU15939919 01l01/2019 01/01/2020 AGGREGATE 20,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) NAMED INSURED: BROWN & BROWN OF COLORADO, INC. CITY OF FORT COLLINS IS ADDITIONAL INSURED ON THE GENERAL LIABILITY, PER FORM CG D2 48 08 05. CERTIFICATE I 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. I AUTHORIZED REPRESENTATIVE PO BOX 580 !I FORT COLLINS CO 80522-0580 U-I 1:1155-Lu171kiiumu L UrcrWMM I IVI\. MII IIvi 1W IWJai •wu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD