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Home My WebLink About200 N COLLEGE LLC - INSURANCE CERTIFICATEAC"R"' CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 5/20/2020 1 5/30/2019 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). CONTACT PRODUCER Lockton Companies N 8110 E Union Avenue A/c No EXt : ighi FAX No): Suite 700 E-MAIL Denver CO 80237 ADDRESS: (303) 414-6000 INSURERISI AFFORDING COVERAGE NAIC u INSURED 200 N. College, LLC 1430351 200-207 N College Avenue Fort Collins, CO 80524 INSURER A: The Travelers Indemnity Company 25658 INSURER B : Ironshore Indemnity Inc. 23647 INSURER C : ACE Property & Casualty Insurance Co 120699 rnVFRAr:FC r:FRTIPICATF M11IM. 1 Sd7QQ7d RFVIS.InN1 NIIMRPR- XIVY XXXk THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS. 1ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OF )NDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAN, AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO. /N 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 1MM/DD1YYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY Y N Y-630-9K213399-IND-19 5/20/2019 5/20/2020 EACH OCCURRENCE _ 1,000,000 CLAIMS-MADEEx I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence 100,000 X MED EXP (Any oneperson) 5,000 terrorism Included PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY JECT FX LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER. AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE Ea aBINEDtSINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX OW AAUTOS ONLY AUTODULED BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB OCCUR Y N HLI18-A-G71364409 5/20/2019 5/20/2020 EACH OCCURRENCE $ 50 O00000 LIAB HL118-A-G71364409 5/20/2019 5/20/2020 XEXCESS NCLAIMS-MACE AGGREGATE $ 50,000,000 DEC) I X I RETENTION $ 10,000 $ XXXXXXX D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A N 4093547 6/1 /2019 6/I/2020 PER OTH- X STATUTE ER E L EACH ACCIDENT $ 1,000,000 E L. DISEASE - EA EMPLOYEE 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If the General Liability policy is cancelled by the issuing company dur ng the policy term, for other than non-payment of premium, 30 days notice will be provided to the Certificate Holder named below, 10 days' for non-payment of premium. Excess Liability is following form to the General Liability and includes 'terrorism RE: The Exchange - 200-207 N College Ave, Fort Collins, CO 80524. Liquor Liability: Aggregate Limit: $2,000,000. Each Common Cause Limit, $1,000,000 City of Fort Collins is included as Additional Insured as respects to General Liability if required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15479924 AUTHORIZED REPRESENTATIVE City of Fort Collins PO Box 280 Fort Collins CO 80522 ACORD 25 (2016/031 @ 1 988-210A ACORb CORP RATION. All riahts reserved The ACORD name and logo are registered marks of ACORD