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Home My WebLink About429371 HILLEN CORPORATION - INSURANCE CERTIFICATE,4Ilk o CERTIFICATE OF LIABILITY INSURANCE REVISED DATE(MM/DD/YYYY) 03/27/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELYAMEND, 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 endorsedlf 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 endorsements . PRODUCER CONTACT NAME _ A/CNNo Ext : 303-452-5738 ac No): MACHANN INSURANCE AGENCY 11160 NO. HURON, STE. 36 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # NORTHGLENN, CO 80234 INSURER A: TRAVELERS INDEMNITY CO. 13439 INSURED INSURER B: TRAVELERS PROPERTY CAS. CO. OF AMERI. 13579 HILLEN CORPORATION INSURER C: COLONY INSURANCE CO. INSURER D ONE BEACON 7600 DAHLIA INSURER E: HOMELAND INSURANCE COMPANY COMMERCE CITY, CO 80022 INSURER F: COVERAGES CERTIFICATE NUMBER: 100130 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. NTRR TYPE OF INSURANCE INSD SWVD POLICY NUMBER MM/DDY� MM/DCDIY YY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR PREMISES (Ea RENTED $ 300,000 X MED EXP (Any one person) $ 10,000 A XCU CO-325D2910 4-1-19 4-1-20 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � JECT FLOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINE INGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ AUTOS ONLY AUUTOS ONLYY 810-8M616759 4-1-19 4-1-20 PROPERTY DAMAGE (Per accident) $ X $ POLLUTION UMBRELLA DAB X OCCUR EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 C EXCESS LIAB CLAIMS -MADE XS174260-0 4-1-19 4-1-20 DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY l / N TAT TE R ANY PROPRIETOR/PARTNER/EXECUTIVE❑ N/A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ $600,000 LIMIT -PER ITEM $500,000 ALL ITEMS D LEASED & RENTED EQUIP. 790-00-55-80 4-1-19 4-1-20 DEDUCTIBL-2,500 E I POLLUTION LIABILITY 793-00-11-81 4-1-19 4-1-20 1 LIMIT$1,000,000 OCCURRENCE $2,000,000 AGGREGATE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AS REQUIRED BY CONTRACT, THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED'S UNDER THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY. CERTIFICATE HOLDER CANCELLATION THE CITY OF FORT COLLINS PURCHASING DEPARTMENT P.O. 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) The ACORD name and logo are registered marks of ACORD