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Home My WebLink About572786 AESI-US INC - INSURANCE CERTIFICATE (4)-�� AESIINC-S3 KSTA ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3l25/2019 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 License # 0019304-1 CONTA NAME:CT Karen S Stahr CIC CISR Hub International Midwest East PHONE 616 233-4111 FAx 625 Kenmoor Avenue SE, Suite 200 (A/C, No, Ext): ( ) (A/C, No);(616) 233.4110 Grand Rapids, MI 49546 AQ2R)iS8: karen.stahr@hubinternational.com INSURED AESI-US Inc 1990 Lakeside Pkwy Ste 250 Tucker, GA 30084 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTRTYPE OF INSURANCE ADDp SUER POLICY NUMBER POLIpY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES fEa occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG POLICY YPCoLOC OTHER: Is AUTOMOBILE LIABILITY A COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY Per erson BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY AUTOS P�tOPERTY AMAGE rer accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR _ EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N N/ ANY PROPRIETOR/PARTNER/EXECUTIVE . OFFICER/MEMBER EXCLUDED (Mandatory in NH) STR OTH- 81 WECID1060 4/3/2019 4/3/2020 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE 1,000,000 1,000,000 $ _ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GtK I II-IGA I t MULUtK I.AIV I,CLLA I IVIY The City of Fort Collins 215N, 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD