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HomeMy WebLinkAbout286869 ABS ASSOCIATED BUILDING SPECIALISTS INC - INSURANCE CERTIFICATEA�ORo® CERTIFICATE OF LIABILITY INSURANCE 5/1/202o DATE(MM/DD NYYY 9 ) 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 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT NAME: HONE FAX A/C, No, Ext : A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Ohio Security Insurance Company 24082 INSURED ASSOCIATED BUILDING SPECIALTIES, INC. 1352712 3764 IMPERIAL STREET FREDERICK CO 80516 INSURER B : American Fire and Casual Company 24066 INSURER C : West American Insurance Company 44393 INSURER D: The Ohio Casualty Insurance Company 24074 INSURER E : INSURER F : COVERAGES* CERTIFICATE NUMBER: 14095308 REVISION NUMBER: XXXXXXX 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 INSD SUBR yWD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N BKA2056071740 5/1/,2019 5/1/2020 EACH OCCURRENCE 1,000,000 PREMISES (ETO a RENTED ) $ 300,000 MED EXP (Any oneperson)1 O OOO PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECTPRO- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2 000 000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOSONLY SCHEDULED AUTOS AUTOS ONLY X ED AUUTOS ONLY Y N BAS2057983294 5/1/2019 5!1/2020 COMBINED LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX X (Per a c deWNED nt DAMAGE $ XXXXXXX $XXXXXXX D X' UM13RELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N US02056071740 5/1/2019 5/1/2020 EACH OCCURRENCE $ 5000000 AGGREGATE $ 51000,000 DED RETENTION $ $ XXXXXXX D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?NI (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS beluw NIA N XW02056071740 5/1/2019 5/1/2020 X STATUTE OT E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 C INSTALLATION/STORED MATERIALS N N BMW2058614595 5/1/2019 5/1/2020 $475,000LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF FORT COLLINS IS ADDITIONAL INSURED ON GENERAL, AND AUTO COVERAGE, IF REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. CERTIFICATE HOLDER CANCELLATION 14095308 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80524 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 ACORn 25 (2n1A/n31 Cc)10R_2015 ACf)Rn CnRPnRATION_ All riahtc resarvad The ACORD name and logo are registered marks of ACORD