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HomeMy WebLinkAbout442066 MARTIN / MARTIN INC - INSURANCE CERTIFICATE (5)Client#: 90463 MARTMARTI DATE (MM/DDIYYYY) ACORDTM 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 CONTACT Carly Underwood Greyling Ins. Brokerage/EPIC PHONE 770-552.4225 866.550.4082 A/C, No, Ext : AJC, No 3780 Mansell Road, Suite 370 E-MAIL cart underwood re lin ADDRESS: y Y g•com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Martin/Martin, Inc. 12499 West Colfax Ave. Lakewood, CO 80215 INSURER A: Travelers Indemnity Company INSURER B : Starr Surplus Lines Insurance Company INSURER D : INSURER E ., INSURER F : CAVFRAnFS CFRTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LflAn'S LTR INSR WVD POLICY NUMBER MMIDD MMIDD A X COMMERCIAL GENERAL LIABILITY 6805N824330 6/01/2019 06101/2020 EACH�OECCURRENCE $1 000,00077W CLAIMS -MADE OCCUR (AOS) PREMISES Ea..Turrence $1,000,000 MED EXP (Any one person) s5,000 A 6805N829614 6101 /2019 06/01/202 PERSONAL BADV INJURY (CA) $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F—x] JECOT a LOC PRODUCTS - COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BASN831173 6/01/2019 06/01/202 CFoa a�B.IcJd.n SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS 1X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR CUP5N831959 6/01/2019 06/01/2020 EACH OCCURRENCE $5000000 AGGREGATE $5 000 000 EXCESS LIAR CLAIMS -MADE F.E. X RETENTION $1 O 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEIMBEER EXCLUDED? ECUTIVEN (Mandatory in NH) NIA U65N826009 6/01/2019 06/01/202 X PER OTRH- TuTE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below B Professional SLSLPR026207319 6/01/2019 06101/2020 Per Claim $2,000,000 Liability Aggregate $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Operations. City of Fort Collins is Additional Insured with respect to General and Auto Liability per the attached endorsements as required by written contract. 30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. City of Fort Collins Attn: Purchasing Department PO Box 580 Fort Collins, CO 80522-0000 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.