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WALSH CONSTRUCTION INC - INSURANCE CERTIFICATE (4)
OP ID: JW1 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYYI 1 07109/2019 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 endorsementis). PRODUCER Front Range Insurance Group 2002 Caribou Drive, Ste. 101 Fort Collins, CO 80525 AssuredPartners Colorado INSURED Walsh Construction, Inc. INSURER A: Plnnacol Assurance 41190 8139 Open View Place Loveland, CO 80537 INSURER B: Btta co General InaCorp uranca Co INSURER C : Western World Insurance Group INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE sum POLICY NUMBER POLICY MMID -YA POLICY MMDDNYYY LIMBS B C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X Pollution Lia6 X CLP 3 670 670 HSECC12316-00 07/01/2019 09/22/2018 07/01/2020 09/22/2019 EACH OCCURRENCE $ 1,000,00 PREMISES (Ea occurrence $ 300,00 MED EXP (Any one Person) $ 10,00 BADVINJURY $ 1,000,00 -PERSONAL GENERAL AGGREGATE $ 2,000,0011 GEN'L AGGREGATE LIMIT APPLIES PER: 1-1 POLICY X PRO LOC PRODUCTS - COMPIOP AGG $ 2,000,0011 Pollution $ 1,000,00 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CAP 3 670 671 07/01/2019 07/01/2020 COMBINED SINGLE LIMIT (Es accident) $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) E PROPERTY DAMAGE (PER ACCIDENT) E $ $ B X UMBRELLA UAB EXCESS LUIB X OCCUR CLAIMS -MADE CUP 2814437 07/01/2019 07/01/2020 EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000,00 DEDUCTIBLE RETENTION S S S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORlPARTNERIEXEcunVEYlN OFFICERIMEMBER EXCLUDED4 (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA 104361 05/01/2019 05/0112020 X OK5TA fT- O R E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOY S 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 B Inland Marine CLP 3 670 670 07101/2018 07/01/2019 grist Floa 350,00 I Leas/Rent 250,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAnach ACORD 1a1, Additional Remarks Schedule. if more space is required) City of Fort Collins is included as additional insured per conditions and forms shown on page 2. Project: Fort Collins -Loveland Municipal Airport Snow Removal Equipment (SR�) Building l mm 1 Ir ILIA I C MULLICm i—AIYI.CLLA I IUIY CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD