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Home My WebLink About426136 MUNICIPAL EMERGENCY SERVICES - INSURANCE CERTIFICATE (3)ACOPW ° CERTIFICATE OF LIABILITY INSURANCE 12/29/2019 .ATE(MM/DD/YYYY) 12/13/2018 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 Lockton Companies CONT CT NAME: PHONE t-AA A/C, No, EXt : A/C, No): 76 Batterson Park Road Farminxagton CT 06032 860-678-4000 E-MAL AA FIE S S: INSURERS AFFORDING COVERAGE NAIC # INSURER A : Travelers Indemnity Company of America 25666 INSURED Municipal Emergency Services, Inc. INSURER B : Navigators Insurance Company 42307 1372711 P.O. Box 656 Southbury CT 06488 INSURER C : Travelers Property Casualty Co of America 25674 INSURER D E : -INSURER INSURER F : COVERAGES CERTIFICATE NUMBER: 141 14656 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISI ED 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N 630-3639A484 12/29/2018 12/29/2019 EACH OCCURRENCE 1,000,000 PREMISESa occur ante 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: OLICY❑JE0 LOC PoTHER. GENERAL AGGREGATE $ 2000000 PRODUCTS - COMP/OP AGG $ 2000000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y N 810 3639A515 12/29/2018 12/29/2019 COBINEDaccidentSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PPROPERTY DAMAGE er accident $ XXXXXXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB OCCUR N N B018UMR8004421V 12/29/2018 12/29/2019 EACH OCCURRENCE $ 10,000,000 HCLAIMS-MADE AGGREGATE $ 10,000,000 DED I X I RETENTION $ 10,000 $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) yes' describe under DESCRIPTION OF OPERATIONS below A NIA N UB-I L70309A 12/29/2018 12/29/2019 X STATUTE ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as an Additional Insured with respect to General Liability and Auto Liability as required by written contract. CERTIFICATE HOLDER I.ANI:tLLAI IVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14114656 AUTHORIZED REPRESENTATIVE City of Fort Collins PO Box 580 Fort Collins CO 80522 ernRn 7s; ronia/nii ©11988-201ACOAD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD