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HomeMy WebLinkAboutCORRPRO COMPANIES INC - INSURANCE CERTIFICATEACOR"° CERTIFICATE OF LIABILITY INSURANCE �—� 7/1/2020 DATE(MM/DDNYYY) 6/21 /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 Three City Place Drive, Suite 900 St. Louis MO 63141-7081 (314) 432-0500 CONTACT NAME: PHONE A/C No, Eut :(A/C, No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A; XL Insurance America Inc. 24554 INSURED Corrpro Companies, Inc. 1316495 1055 W. Smith Road Medina OH 44256 INSURER B: ACE American Insurance Company 22667 INSURER C: hiderrtnity Insurance Co of North America 43575 INSURER D : Starr Indemnity & Liability Company 38318 INSURER E : INSURER F : COVERAGES CORC002 CERTIFICATE NUMBER: 11966279 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 SUER WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Y N CGD300084904 XCU / BROAD FORM PD 7/1/2019 7/1/2020 EACH OCCURRENCE 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- XLOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y N ISAH25299516 7/1/2019 7/1/2020 COMBINED SINGLE LIMIT Ea accident $ 5,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( $ XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ xlxxxx $ XXXxsCXX D UMBRELLA LIAB NOCCUR Y N 1000095154191 7/1/2019 7/1/2020 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ XXXXXXX B C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A Y WLRC 66038622 (AZ CA,MA) WLRC66038580 (AOS� EXCLUDING MONO OLISTI) 7/1/2019 7/1/2019 7/1/2020 7/1/2020 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1 OOO OOO E.L. DISEASE - POLICY LIMIT t 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF FORT COLLNS - POUDRE CANYON 24#, PIPELINE REHABILITATION IS ADDITIONAL INSURED UNDER GENERAL LIABILITY ON A PRIMARY AND NON-CONTRIBUTORY BASIS WHERE APPLICABLE BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED's OPERATIONS, AND ARE ADDITIONAL INSUREDS UNDER AUTOMOBILE LIABILITY AND UMBRELLA LIABILITY WHEN REQUIRED BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED's OPERATIONS. WAIVER OF SUBROGATION APPLIES UNDER WORKERS' COMPENSATION WHERE PERMISSIBLE BY LAW AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS. 11966279 CITY OF FORT COLLINS - POLIDRE CANYON 24# PIPELINE REHABILITATION 700 WOOD STREET FORT COLLINS CO 80524 I 1wil OCC C LLCLWIl1ICllL 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 (2016/03) ©1 The ACORD name and logo are registered marks of ACORD All riehts rpsPrvpd