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Home My WebLink About563449 CENTERLINE SOLUTIONS LLC - INSURANCE CERTIFICATE (3)AC:UHIJ, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/1/2020 1 1 /28/2019 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 Lockton Companies 8110 E. Union Avenue Suite 700 Denver CO 80237 CONTACT NAME: PHONEAIC Na Ext : NC No): E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # (303) 414-6000 INSURER A: Zurich American Insurance Company 16535 INSURED Centerline 1408175 Solutions, LLC 16035 Table Mountain Parkway INSURER B : Endurance American Insurance Company 10641 INSURER C : Steadfast Insurance Com an 26387 Golden, CO 80403 INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER_ 14/559/7 REWS! 1N NUMBER: XXXX1iYY 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 ADDL INSO SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N GLA023211903 2/1/2019 2/1/2020 EACH OCCURRENCE 1,000,000 CLAIMS -MADE � OCCUR DAMAGE (Ea oTO ccurrence 1,000,000 X MED EXP Any oneperson) 10,000 Contractual Liab X XCU PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY JERCOT- ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: • AUTOMOBILE LIABILITY Y N GLA023211903 2/1/2019 2/l/2020 COMBINED SINGLE LIMIT Ea accident $ 2 000 000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XXXXXXX AUTOS ONLY IRED AUTOS ONLY (PReOaEcRdTY DAMAGE $ XXXXXXX $ XXXXXXX g X UMBRELLA Lill AB X OCCUR N N EXC30000049903 2/1/2019 2/1/2020 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX A COMPENSATION YERS' LIABILITY AND EMPLOYERS' AND EMPLOYERS' LIABILITY YIN N WCO23211703 2/1/2019 2/1/2020 X STATUTE o R E L. EACH ACCIDENT $ 1,000,000 OFFIANYCER MEM ERrPARTNER/EXEXCLUDED? ECUTIVE N❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A E.L. DISEASE - EA EMPLOYEE 1 000 000 E.L. DISEASE - POLICY LIMIT 1,000,000 A C 61st Flos.er; Leased/Rented Equip Prof/Poll N N CPP023212503 EOC 1387313-00 2/1/2019 2/ I /2019 2/1/2020 2/1/2020 $1M; $25OK/item $5M/clm prf; $5M clm pol; $12M agg; DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 1 he City of Fort Collins is included as additional insured with respect to General and Auto Liability as required by written contract, ucm l Ir n-m I C r*IULUCK GANGtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14355937 AUTHORIZED REPRESENTATIVE The City of Fort Collins Purchasingg Department PO Box 5810 Fort Collins, CO 80522 _ - C' , ,.I/ i ACORD 25 (2016/03) @1988-20A ACORb CORP RATION. All riahts reserved The ACORD name and logo are registered marks of ACORD