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Home My WebLink About413953 HUDSPETH AND ASSOCIATES - INSURANCE CERTIFICATE (2)Page 1 of 2 ACORO� DATE (MMiDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05/30/2019 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 pollcy(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: Willis Insurance Services of California, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd E-MAIL EXIT• (A/C No): P.O. Box 305191 ADDRESS: certificates@will is. com Nashville, TN 372305191 USA INSU B AFFORDINGCOVERA E INSURED Hudspeth 6 Associates, Inc. 4775 S Santa Fe Circle Englewood, CO 801106477 USA RER�)-_ G NAIC u INSURERA: ACE American Insurance Company 22667 INSURER B: ACE Property a Casualty Insurance Company 20699 INSURERC: Tokic Marine Specialty Insurance Company 23850 INSURERD: Barkley Assurance Company 39462 INSURER E : INSURER F : C0VFRAGFR (FRTIFICATF tJIIIURFR• W11427779 RF1/ICIr'11J hNlunco. 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 AbDLii ^fii;r —� POLICY EFF POLICY EXP -TYPE LTR OF INSURANCE POLICY NUMBER MM/DD/VYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS X ' OCCUR DAMAGE TO RENTED -MADE I-100,000 PREM ISES,(FioC r � A Y I HDo G71078115 06/01/2019 MED EXP (An�+onapN- 06/01/2020 PIERSONAL d ADV INJURY $ 10, 000 _._-...._......._._... $ 3, 000, 000 - GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY X LOC ECJOT L_J �, PRODUCTS - COMROP AGG $ 3, 000, 000 _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea-accidenU_— $ 5,000,000 X ANY AUTO BODILY INJURY (Per person) $ A OWNED —, SCHEDULED AUTOS ONLY AUTOS ISA H08870184 06/01/2019 06/01/2020 BODILY INJURY (Per accident) $ HIRED NON -OWNED __... RO PPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per AcS ident) B X UMBRELLA LIAR X OCCUR EACH OCCURRENCE - - is 10, 000, 000 EXCESS LIAB CLAIMS -MADE XOO G26122676 004 06/01/2019 06/01/2020 AGGREGATE $ 10,000 000 DED X RETENTION$ 50,000 j WORKERS COMPENSATION X OTH - TAT T AND EMPLOYERS ' LIABILITY YIN ._.... E.L. EACH ACCIDENT _.-..._. __.,_.__- -"'"' A ANYPROPRIETOR'PARTNEFL'EXECUTIVE OFFtCERrtNEMBEREXCLUOED? NO NIA WLR C4813421A 06/01/2019 06/01/2020 $ 2,000,000 (Mandatory In NH) E.L. DISEASE • EA EMPLOYEE! $ 2,000,000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 2, 000,000 C Contractors Pollution Liability PPX1984617 ,06/01/2019�06/01/2020 Per Incident $10,000,000 I !Aggregate Limit $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached It more space Is required) SEE ATTACHED �ti117iLe1�1�13i' City of Fort Collins 215 N Mason St 2nd Floor PO Box 580 Fort Collins, CO 805220580 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 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SIR 1D! 18014444 BATcH; 1219896 2 of 5 19139 AGENCY CUSTOMER ID: LOC #: AC" ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Insurance Services of California, Inc. Hudspeth 6 Associates, Inc. 4775 S Santa Fe Circle Englewood, CO 801106477 USA POLICY NUMBER See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, — FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance City of Fort Collins is included as additional Insured as respect to General Liability and Auto Liability. Waiver of Subrogation applies in favor of the Additional Insureds with respects to General Liability, Auto Liability and Workers Compensation, as permitted by law. INSURER AFFORDING COVERAGE: Berkley Assurance Company POLICY NUMBER: PCAB-5008785-0619 EFF DATE: 06/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION Professional Liability Each Claim Aggregate Limit EXP DATE: 06/01/2020 LIMIT AMOUNT: $20,000,000 $20,000,000 NAIC#: 39462 ACORD 101 (2008/01) v 20o6 ACUKU UVKFUHAI IUN. An rlgnls reserves. The ACORD name and logo are registered marks of ACORD SR ID: 18014444 BATCH: 1219896 CERT: W11427779