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HomeMy WebLinkAbout108951 HALL IRWIN CORPORATION - INSURANCE CERTIFICATE (4)a DATE (MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/22/2019 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 CONTACT NAME: Katie Smothers_ __ Commercial Risk Solutions PHONE 303-996-7801 A/X :303-757-7719 6600 E Hampden Ave Ste 200 EAIL Denver CO 80224 ADMRE $: ksmothers crsdenver.com INSUREII AFFORDING COVERAGE �— NAIC # INSURED HALIR-1 Hall -Irwin Corporation 301 Centennial Drive Milliken CO 80543 INSURER A: United Specialty Insurance Co INSURERS: Westfield Insurance INSURER_D..LLa.--..__ . INSURER E : COVERAGES CERTIFICATE NUMBER:286143086 REVISION NUMBER: 2411 4119 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__--TYPEOFINSURANCE r?� -- POLICY NUMBER MMUC/YVYY MO OfYYYY LIMITS LTRNSn A X COMMERCIAL GENERAL LIABILITY Y ATN-SF1843368 12/31/2018 12/31/2019 ' EACH OCCURRENCE $1,000,000 j X (-DAMAGE TO F#ENTEt) CLAIMS -MADE OCCUR Pf1MIES,(Eaoc4urrence� $50,000 �MED EXP (Arr� onepereon) $ 5.000 —� XJ WY EL Stop Gap PERSONAL & ADV INJURY $1,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 POLICY jECOT n LOC PRODUCTS -COMP/OP AGGT$2,000,000 OTHER: Sto Ga Liabil 00,000 B AUTOMOBILE LIABILITY Y TRA7976721 12/31/2018 12/31/2019 COMBINED SINGLE LIMIT $1,000,D00 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED I BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X i DAMAGE PROPERTY accident) $ AUTOS ONLY AUTOS ONLY $ A UMBRELLA LIAB X OCCUR BTN1845097 12/31/2018 12/31/2019 EACH OCCURRENCE $5,000,D00 $ 5,000,000 X EXCESS LIAB CLAIMS -MADE I AGGREGATE $ DED ' X RETENTION $, i C WORKERS COMPENSATION 4021105 1/1/2019 1/1/2020 X �TATI).TE._,,_____,f_ERH__ DkT AND EMPLOYERS' LIABILITY Y ! N ---- - _ _ . _ R/PARTN I E.L. EACH ACCIDENT $ 500 000 OFFICE IMEMB DEEXECUTIVE N OFFICER'MEMBER EXCLUDED? N / A I �-- (Mandatory In NH) I E.L. DISEASE EA EMPLOYEE $ 500 000 If yes. describe under DESCRIPTION OF OPERATIONS below ----- _...... _ .,._.....,. E.L. DISEASE POLICY LIMIT $ 500,000 B Leased and Rented Equipment TRA7976 21 12/31/2018 i 12/31/2019 `Limit 500,000 Special FormlACVl100%Coinsurance i i i Deductible 2.500 I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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. 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 91988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 2 7717