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HomeMy WebLinkAbout520308 WILSON & COMPANY INC - INSURANCE CERTIFICATE (3)ACORb- CERTIFICATE OF LIABILITY INSURANCE 16.� 6/I/2020 DATE(MMIDD/YYYY) 1 5/22/2019 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 CT NAMEHONE FAX A/C, No, Ext : AIC, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Liberty Insurance Corporation 42404 INSURED WILSON & CO., INC. INSURER B : Liberty Mutual Fire Insurance Company 23035 011 ENGINEERS & ARCHITECTS 4401 MASTHEAD STREET NE, SUITE 150 INSURER C ALBUQUERQUE NM 87109 INSURER D : INSURER E : _ INSURER F : COVERAGES 2 CERTIFICATE NUMBER: 13840336 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 MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE - OCCUR Y N TB7-Z91-467382-029 6/1/2019 6/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 JECOT- Fx LOC OTHER: GENERAL AGGREGATE $ 2,000 000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ 13 AUTOMOBILE LIABILITY ANY AUTO OWNED AAUTOS ONLY AUTOS ONLY AUUO Y UTONED Y N AS7-Z91-467382-019 6/I/2019 6/l/2020 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX BODILY BODILY INJURY (Per accident $ XXXXXXX X PROPERTY (Per clnt $ XXXXXXX $XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX R AGGREGATE $ XXXXXXX DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER PRAETOR/EXCLUDED? ECUTIVE � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N WC7-Z91-467382-039 6/1/2019 6/1/2020 TH X STATUTE OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 8191 COLLEGE & PROSPECT INTERSECTION. THE CITY OF FT. COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE ADDITIONAL INSURED AS RESPECTS GENERAL AND AUTO LIABILITY, AS REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLAIION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13840336 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522 ACORD 25 (2016/031 ©1588-2015 ACORD CORPORATION. All riohts reserved The ACORD name and logo are registered marks of ACORD