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
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