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HomeMy WebLinkAboutTHE WEITZ COMPANY LLC - INSURANCE CERTIFICATE (3)ACOR"` CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
6/1/2020
1 5/9/2019
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
IN CT
NAMEA
A/C, PHONE VAA
Ext : A/C, No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A: Hartford Fire Insurance Company
19682
INSURED THE WEITZ COMPANY, LLC
1360869 WEITZ COLORADO
420 WATSON POWELL JR. WAY, SUITE 100
DES MOINES IA 50309
INSURER B : Iartford Undenvriters Insurance Company
30104
INSURER C : Twin City Fire Insurance Company
29459
INSURER D : Sentinel Insurance Company, LTD
11000
INSURER E :
INSURER F
COVERAGES CERTIFICATE NUMBER: 13181261 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
AVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
N
N
37CSEQU2571
6/1/2019
6/1/2020
EACH OCCURRENCE
2,000,000
PREMISES (Ea TO occur ence
100,000
MED EXP (Any oneperson)
10000
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
HPOLICY JECT LOC
OTHER:
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMPIOP AGG
$ 4,000,000
$
A
B
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
NON-OWNED
AUTOS ONLY IRED AUUTO AUTOS
N
N
37UENQU2572 (AOS)
37ABQU2573 (HI)
6/1/2019
6/1/2019
6/1/2020
6/l/2020
Ee COMBINEDSINGLELIMIT
$ 2 000 000
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$XXXXXXX
X
PROPERTY DAMAGE
$ XXXXXXXcle
$ XXXXXXX
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
NOT APPLICABLE
EACH OCCURRENCE
$ XXXXxxlx
AGGREGATE
$ XXXXXXX
DED I I RETENTION $
$
C
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE �
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
N
37WNQU2570 (AOS)
37WBRQU2574(WI)
6/1/2019
6/1/2019
6/1/2020
6/1/2020
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
$ ] 000000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
FOR CONTRACTOR'S LICENSE
%IF-rc I Ir VA I r_ r1ULUCR I+ANUIMLLA I IUIV
13181261
CITY OF FORT COLLINS
P.O. 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 (2016/031
(c)19RR-2015 AC(]Rn CnRPOPATION All rinhfc rocarvarl
The ACORD name and logo are registered marks of ACORD