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HomeMy WebLinkAboutLONG BUILDING TECHNOLOGIES INC - INSURANCE CERTIFICATE (2)AGORDrM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/1/2020 4/26/2019 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 Lockton Companies 8110 E. Union Avenue Suite 700 Denver CO 80237 CONTACT NAME: PHONEFAX A/C No Ext : A/C No): E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC p (303) 414-6000 INSURER A: The Charter Oak Fire Insurance Company 25615 INSURED LONG Building Technologies, Inc. 1409467 5001 South Zuni Street Littleton, CO 80120 INSURER B : The Travelers Indemnity Company 25658 ,ravelers Property Casualty Co of America INSURER c : a y Y 25674 INSURER D : 1050.180527 - Fort Collins Bike Shelters INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER- 15737699 RFVIRIrIN iJIIURFR• 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 NND POLICY NUMBER POLICY EFF MM/DD/YYYYI POLICY EXP (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X WA -WY -Stop Gan Intl N N DTCOOH876035 5/1/2019 5/1/2020 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 3OO OOO X MED EXP (Any oneperson) 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY PRO- LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SC AUTOS ONLY AUTOSULED HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY(Per N N DT8100H876035 5/l/2019 5/1/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX X accident)T DAMAGE $ XXXXXXX $XXXXXXX C X UMBRELLA LIAB EXCESS LIAB X IOCCUR CLAIMS -MADE N N CUP3J93435726 5/l/2019 5/1/2020 EACH OCCURRENCE $ 10.000 000 AGGREGATE $ 10,000,000 DED I I RETENTION $ 10,000 $ XXXXXXX WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y1 N ANY PROPRIETOR/PXCLUDE/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A N UB4K46481A1826G 5/1/2019 5/1/2020 PER OTH- X STATUTE ER E.L. EACH ACCIDENT f1 $ 500,000 E L. DISEASE- EA EMPLOYEE 500,000 E.L. DISEASE- POLICY LIMIT 500 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 6.Crx I Ir it pi, I C rIULUCR tANGtLLA I IUN See Attacrlments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15737699 AUTHORIZED REPRESENTATIVE City of Fort Collins - Parking Services PO Box 2047 Fort Collins CO 80524 ACORD 25 (2016/03) @ 1 988-20YS ACORb CORP RATION. All rights reserved The ACORD name and logo are registered marks of ACORD