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Home My WebLink About254063 W L CONTRACTORS INC - INSURANCE CERTIFICATE (2)— -I 0 A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/29/2019 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 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 Lautenbach Insurance Agency, LLC 5721 S. Nevada St. Littleton, CO 80120 CONTACT NAME: Fred Lautenbach FAX AI�No EXt: (303)798-2534 A/C, No: (303)798-2536 E-MAIL ADDRESS: fred@lautenbachinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Travelers Property Casualty Co. 19046 INSURED W. L. Contractors, Inc. 5920 Lamar St. Arvada, CO 80003 INSURER B : Liberty Mutual Insurance 23043 INSURERC: INSURERD: INSURER E: INSURER F : v 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE F OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 DT-CO-7B904627-PHX-19 05/01/2019 05/01/2020 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -CO $ 2,000,000 POLICY X 71 PRO- LOC JECT OTHER: AUTOMOBILE LIABILITY ECOMBINED a Bc deDtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED AUTOS AUTOS 810-9M509755-19-26-G 05/01 /2019 05/01/2020 BODILY INJURY (Per accident) $ PerOac TY DAMAGE $ $HIRED Hired/borrowed $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE CUP-43513886-19-26 05/01/2019 05/01/2020 DED TX71RETENTION $ 10,000 $ WORKERS COMPENSATION X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 A AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFF ICER/MEMBER EXCLUDED? (Mandatory in NH) NIA UB-9J605690-19-26-G 01/01/2019 01/01/2020 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Equipment 4T-660-1H850054-COP-19 05/01/2019 05/01/2020 Limit: $50,000 Ded. $1,000 B �Rent,Lease,Eiorrowed Installation Floater BMW 58252346 01/01/2019 01/01/2020 Limit $1,000,000 Transit $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is included as an Additional Insured with respect to the General Liability and Automobile Liability as required by written contract. Re: Installation of Bike Counter WL Job No. 10285 /`GRTIGICATF wni nFR I..HIVVCLLHI IVIY 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 ed Lautenbach/JENN 1988-2014 ACORD ;z, " kTION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)