HomeMy WebLinkAbout111818 SHERMAN & HOWARD LLC - INSURANCE CERTIFICATE (2)Ac"Rb' CERTIFICATE OF LIABILITY INSURANCE
lik.�� 4/l/2020
DATE(MM/DDrtYYY)
1 3/26/2019
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
(303) 414-6000
CONTACT
NAME:
PHONE A/C No Ext : NC No):
E-MAIL
ADDRESS:
INSURER AFFORDING COVERAGE
NAIC u
INSURER A: Great Northern Insurance Company
20303
INSURED Sherman & Howard, LLC
1062144 63317th Street, #3000
Denver, CO 80202
INSURER B : Federal Insurance Company
20281
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 15342838 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
(MM1DD1YYYYl
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
Y
N
35963653
4/1/2019
4/l/2020
EACH OCCURRENCE
1,000,000
DAMAGE TO RENTED
PREMISES Ea occurrence
1,000,000
MED EXP (Any oneperson)
10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC
OTHER.
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ Included
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
Y
N
73574763
4/1/2019
4/1/2020
Ee a cidentSINGLE LIMIT
$ 1 000 000
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
X
PROPERTY DAMAGE
Per accident
$ XXXXXXX
$XXXXXXX
B
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
79877346
4/1/2019
4/l/2020
EACH OCCURRENCE
$ 20,000,000
AGGREGATE
$ 20,000,000
DED I I RETENTION $
$ XXXXXXX
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
(Mandatory in NHI
It yes, describe u der
DESCRIPTION OF OPERATIONS below
N/A
NOT APPLICABLEE.L.
PER OTH-
STATUTE ER
EACH ACCIDENT
$ XXXXXXX
E.L. DISEASE - EA EMPLOYEE
XXXXXXX
E.L. DISEASE- POLICY LIMIT
XXXXXXX
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City, PFA, their officers, agents and employees are included as Additional Insureds as respects General Liability and Automobile Liability if
required by written contract.
CERTIFICATE HOLDER UANULLLAIIUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
15342838 AUTHORIZED REPRESENTATIVE
City of Fart Collins
Attn: Purchasing Dept.
PO Box 580 r j
Fort Collins, CO 80522
ACORD 25 (20161031 @ 1 988-20A ACORb CORP RATION. All rights reserved
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