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HomeMy WebLinkAbout442066 MARTIN / MARTIN INC - INSURANCE CERTIFICATE (4)Client#: 90463 MARTMARTI DATE (MM/DD/YYYY) ACORD, CERTIFICATE OF LIABILITY INSURANCE 5/13/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: T Carly Underwood Greyling Ins. Brokerage/EPIC PHONE 7705524225 866.550.4082 A/C No E.. xt : (AIC, No): 3780 Mansell Road, Suite 370 E-MAIL rt caUnderwood re lin ADDRESS: y' @9 Y g•com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Company 25658 INSURED INSURER B : Stan Surplus Lines Insurance Company 13604 Martin/Martin, Inc. 12499 West Colfax Ave. Lakewood, CO 80215 INSURER D : INSURER E : INSURER F : CAVFRAnFS CFRTIFICATF NUMRFR- 19-20 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE IN RLSUBR WVD POLICY NUMBER MMILDIDY EFF MM/DDYEXP IYM LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS4AADE a OCCUR 6805N824330 (AOS) 6805N829614 (CA) 6/01/2019 6/01 /2019 06/01/2020 06/01/202 EACH $1,000,000 q�OCCURRENCE PREMISES Ea occuErrDence $1 000 000 MED EXP (Any one person) $ 5 000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PR -POLICY � ECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED H NON -OWNED AUTOS ONLY AUTOS ONLY BASN831173 CUP5N831959 6/01/2019 06/01/202 ED EaaaG'd.n') SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ X UMBRELLALIAB EXCESS LI►B X OCCUR CLAIMS -MADE 6/01/2019 06/01/2020 EACHOCCURRENCE $5000000 AGGREGATE $5 00Oz 000 _ DED X RETENTION $1 O OOO $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A UB5N826009 6/01/2019 0610112020 PERTLITE OTH- X I E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional Liability SLSLPR026207319 6/01/2019 06/01/202 Per Claim $2,000,000 I Aggregate $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: RFP 7494 Parking Structures Conditions Assessments. The City of Fort Collins, its officers and employees is/are Additional Insured(s) with respect to General Liability as required by written contract. City of Fort Collins 215 N. Mason 2nd Floor Fort Collins, CO 80524-0000 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 © 1988-2015 ACORD CORPORATION. All rights reserved.