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Home My WebLink About108951 HALL IRWIN CORPORATION - INSURANCE CERTIFICATE (2)A� ® DATE (MMIDDIYVYY) V" CERTIFICATE OF LIABILITY INSURANCE 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: Katie -Smothers Commercial Risk Solutions PHONE _FAX - 6600 E Hampden Ave Ste 200 E-MAIL Ext), 303-9%-7801 :303-757-7719 Denver CO 80224 Ao , ksmothersq%crsdenver.com INSURED Hall -Irwin Corporation 301 Centennial Drive Milliken CO 80543 ►NSURERA: United Specialty Insurance Co HALIR-1 INSURERS: Westfield Insurance INSURER C : Pinnacol Assurance INSURER D : INSURER E : rf%VPQAf_FC CFRTIFICATF NIIMRFR•77n1inRo7 RFVISION NUMBER: NAIC # 24112 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, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _EXCLUSIONS POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER MMJDD,YYYY MM/DDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y ATN-SF184336a 12/31/2018 12/31/2019 EACH OCCURRENCE $1,000,0W CLAIMS -MADE rx-1 OCCUR pA MI $50,000 _P r9Oce ._. _ _ MED EX SAny one person) $ 5,000 X I Vw EL Gap_ PERSONAL 8 ADV INJURY $1,000,000 --- — GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2 000 000 POLICY X '' JE� C LOC PRODUCTS - COMPJC� AGG $ 2 000 000 OTHER. Stop Gap Liability $1.000,000 B AUTOMOBILE LIABILITY Y TRA7976111 12/31±2018 12/31/2019 COMBINED SINGLE LIMIT (Ea accident-------.-- $ 1,000,000 $ X ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED AUTOS ONLY AUTOS D X HIRED AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) $ _ --__ QOPt c AMAGE $ $ A UMBRELLA UAB X OCCUR BTN1845097 12/31/2018 12/31/2019 EACHOCCURRENCE $5,000,000 X , EXCESS LIAR CLAIMS -MADE AGGREGATE _ $ 5,000,000 — DE-- D'-RETENTION $ c WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YJN j ANYPROPRIETOR/PARTNEFL'EXECUTIVE OFFICER'MEMBEREXCLUDED? FN (Mandatory In NH) NIA 4021105 1/1/2019 1/1/2020 X PER RH E.L. EACH ACCIDENT _ _ E.L. DISEASE - EA EMPLOYEE - __$ 500,000 $ 500,000 V E.L. DISEASE -POLICY LIMIT i_ $ 500,000 N yes. describe under i DESCRIPTION OF OPERATIONS below B Leased and Rented Equipment Special Form/ACV/100% Coinsurance TRA7976721 12/31/2018 12/31/2019 Limit 500,000 Deductible 2,500 DESCRIPTION OF OPERATIONS / LOCATIONS, VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re. 8519 Maple Hill Neighborhood The City of Fort Collins is included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. H City of Fort Collins Purchasing 215 N Mason St, 2nd Floor PO Box 580 Fort Collins CO 80522 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 ( J qU4--'-L U 1988-ZU15 AGUHU GUHFUHA 1IUN. An rlgnis reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 3 80