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HomeMy WebLinkAboutMUSCO SPORTS LIGHTING LLC - INSURANCE CERTIFICATEACORO® t� CERTIFICATE OF LIABILITY INSURANCE DAT O(M11/20119 VY) 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 AOn Risk services Central, Inc. Omaha NE office CONTACT NAME: IAc. No. Ext): C402) 697-1400 aC No.): (402) 697-0017 E-MAIL ADDRESS: 17807 Burke Street Suite 401 INSURER(S) AFFORDING COVERAGE NAIC If Omaha NE 68118 USA INSURED INSURERA: Sentry Insurance A Mutual Company 24998 Musco Sports Li Ohtina. LLC INSURER B: Sentry Casualty Company 28460 C/o MUsco Corporation 100 1st Ave W INSURER C: Nautilus Insurance Company 17370 INSURER D: Oskaloosa IA 52577 USA INSURER E: INSURER F: rr1VFRAC%FS rFRTIFIrATF NIIMRFR• 570077496596 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DDfYYYY POLICY E MM/DO LIMBS A X COMMERCIAL GENERAL LIABILITY YU/1U1/ZUZUEACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR PREMISES E.occunence $300,000 MED EXP (Any one portion) $10 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 POLICY ❑X PE0. ❑X LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER'. A AUTOMOBILE LIABILITY Y 90-16877-03 07/01/201907/01/2020 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS UAB CLAIMS -MADE DED RETENTION B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR PARTNER f EXECUTIVE V/N OFFICERIMEMBEREXCLUDED? (Mandatory In NH) NIA 901687701 05 901687702 AZ, WI 07/01/2019 07/Ol/2019 07/01/2020 07/Ol/2020 X 5 ATUTE OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 If yyes. describe under UESCRIPT ION OF OPERATIONS below E.L. DISEASEPOLICY LIMIT $l, 000, 000 C Archit&Eng Prof PCADN50089860719 claims -Made 07/01/2019 07/01/2020 Aggregate SIR 15,000,000 $250,000 SIR applies per policy terns & condi ions Each Claim $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) RE: Blanket Agreement, Expires 5/18/19. Additional Insured including completed Operations in favor of the City of Fort Collins applies on the General and Auto Liability policies. Waiver of Subrogation in favor of the certificate holder applies on all policies. General Liability coverage is primary and non-contributory. Umbrella coverage is follow form. 30 day notice of cancellation will be provided. CERTIFICATE HOLDER City of Fort Collins PO BOX 580 Fort Collins CO 80522 USA 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. REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD