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HomeMy WebLinkAboutLONG BUILDING TECHNOLOGIES INC - INSURANCE CERTIFICATE (3)AGUKUrM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/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 ryCONTACT PHONEFAX A/C No Ext : A No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (303) 414-6000 INSURER A: 'I he Chaffer 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 rravelers Property Casualty Co of America INSURER c : P 2567Q INSURER D : 1050.180527 - Fort Collins Bike Shelters IN RER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 15737502 REVISION NUMBER: 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 WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP (MM/DD1YYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X WA.WY-Stop G¢p Incl N N DTCOOH876035 5/1/2019 5/l/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 PEC - LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS NON-OWNED ONLY AUUO O� N N DT810OH876035 5/1/2019 5/1/2020 EaeBcdeDISINGLELIMIT $ 1 000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX X eOactletDAMAGE Prcl $XXXXXXXAUTOS $XXXXXXX (' C UMBRELLA LIAB EXCESS LIAR }{ OCCUR CLAIMS -MADE N N CUP3J93435726 5/l/2019 5/1/2020 EACH OCCURRENCE $ 1O 00O 000 r—T AGGREGATE $ 10,000 000 DED RETENTION $ 10,000 $ XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS' L ABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N / A N UB4K46481AI826G 5/l/2019 5/1/2(120 I PRJ OTH- X STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE 500,000 E.L. DISEASE - POLICY LIMIT hs500,000 T7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) laK I It-lt A I t KULUtK CANCELLATION See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15737502 AUTHORIZED REPRESENTATIVE City of Fort Collins PO Box 2047 Fort Collins CO 80524. e` ACORD 25 (2016103) ©1988-20 5 ACORb CORP RATION. All rights reserved The ACORD name and logo are registered marks of ACORD