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Home My WebLink AboutSOLOMON CORPORATION - INSURANCE CERTIFICATEA� REY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/l /2020 1 4/24/2019 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 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTACT NAME: PHONE Ext : FAX A/C, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : AIG Specialty Insurance Company 26883 INSURED SOLOMON CORPORATION 1316815 103 WEST MAIN SOLOMON KS 67480 INSURER B : Travelers Property Casualty Co of America 25674 INSURER C : Travelers Indemnity Company of America 25666 INSURER D INSURER E : INSURER F : COVERAGES SOLCO08 CERTIFICATE NUMBER: 15996642 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 MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N EG18402270 5/1/2019 5/1/2020 EACH OCCURRENCE s 1,000000 CLAIMS -MADE OCCUR }{ DAMAGE TO RENTED PREMISES Ea occurrence 300,000 X MED EXP (Any oneperson)2J OOO Contract Llab. Incl. PERSONAL 8 ADV INJURY $ 1000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY❑ JERCOT ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y N -I-JCAP-131J5108 5/1/2019 5/1/2020 (CEOMBIN SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident $ XXXXXXX X AUTOS ONLY X AUUTOS ONLDY Peer accident DAMAGE $ XXXXXXX X $ XXXXXXX COMP - VA x COLL - VARI S A UMBRELLA LIAB X OCCUR N N EGU18403417 5/1/2019 5/1/2020 EACH OCCURRENCE $ 21000,000 X AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N UB-8M957148 5/1/2019 5/1/2020 P X SLATUTE OER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNERIEXOFFICER/MEMBER ER EXCLUDED? ECUTIVE N❑ N / A E.L. DISEASE - EA EMPLOYEE 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 A POLLUTION LEGAL LIAB. N N EG18402270. 5/1/2019 5/l/2020 S 1,000,000 EACH LOSS A ADD'L POLL. LEGAL LIAB EG18402270 5/1/2019 5/1/2020 $1,000,000 EACH LOSS DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSURED ON GENERAL AND AUTO LIABILITY COVERAGE, AS REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. FOR CANCELLATION FOR ANY REASON OTHER THAN NONPAYMENT OF PREMIUM, THE INSURER(S) WILL SEND 30 DAYS NOTICE OF CANCELLATION TO THE CERTIFICATE HOLDER. %,CR I rrwA I C nULUCrC I.HIVI,CLLH I IUN 15886642 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (20161031 Cc�19$R-2015 ACORD CORPORATION All rinhtc resarverl The ACORD name and logo are registered marks of ACORD