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Home My WebLink AboutWALKER MANUFACTURING CO - INSURANCE CERTIFICATE (6)A"R"DATE `C `.IJf� CERTIFICATE OF LIABILITY INSURANCE (MM/DDIYYYV) 02/27/2019 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 CONTACT Kelly Beauvais, CIC, CISR NAME: Flood and Peterson PHONE (970) 356-0123 FAX (970) 330-1867 A!C No Ezt : A!C No E-MAIL kbeauvais@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Twin City Fire Insurance Company 29459 Greeley CO 80632 INSURED INSURER 8 : The Hartford Insurance. Walker Manufacturing Co. INSURER C : Pinnacol Assurance 41190 INSURER D : 5925 East Harmony Road INSURER E : INSURER F : Fort Collins CO 80528 rnVFRArFR CFRTIFIrATF HUMRFR- MASTER WC x 2020 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 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 ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDIYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ®OCCUR DAMAGE TO RENTE17 PREMISES Ea occurrence $ 300,000 MED EXP (AnV one person) $ PERSONAL & ADV INJURY $ 1,000,000 A 34ECSOF1729 09/30/2018 09/30/2019 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ PRO-F> JECT PRODUCTS-COMPIOPAGG $ 2,000A00 BLWOS $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT /Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B X OWNED SCHEDULED AUTOS ONLY AUTOS 34CPRZT8932 09/30/2018 09/30/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Medical payments $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROP RI ETORJPARTN ER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA 2270632 04l01l2019 04/01/2020 ER X STATUTE EORH E.L. EACH ACCIDENT 500,000 s E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ SOO,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RECEIVED Certificate Holder is Additional Insured as their interests may appear regarding land leased at: MAR 0 7 Z019 City Manager's Offic(: CERTIFICATE HOLDER UANLtLLAI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Manager; City of Ft. Collins ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Ave AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD