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ACOR[7� DATE (MWDD/VYYY)
�. CERTIFICATE OF LIABILITY INSURANCE 07/25/2019
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 endorsements .
PRODUCER CONTACT
NAME:
c/o 26 Century Blvd PHONE 1-877-945-7378 NC No: 1-e80-467-2378
Willis of Colorado, Inc.
P.O. Box 305191 AOOR S: cartificatee(willis.com
Nashville, TN 372305191 USA INRImFQrm aeenonIhIn rAVFRAAC UAV l
INSURED
Zayo Group, LLC
1805 29Street. Suite 2050
Boulder, CO 80301 USA
INSURERA: Great Northern Insurance Company
20303
INSURERS: Sedaral Insurance Company
20281
Sentry Casualty
INSURER 'rS y C ospany
28460
INSURERD:
INSURER E:
INSURER F:
rY111C0A11F¢ @CRTIPICATC NIISARFR• N12114083 RCVICIr]N NI IMRII
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 __AODL SUER. _— __— _.— —' POLICV EFF POLICY E7(P
LTR TYPEOFINSURANCE INSD WVD POLICY NUMBER MM/DDIY (MMID YY LI16T6
X COMMERCIAL GENERAL LIABILITY
EAC�CU_RRENCE
$ 1,000,000
PREMISES (Ea occurrence)
6 1,000,000
CLAIMS MADE X OCCUR
MED EXP (Any one person)
A
S 10,000
3604-53-52 08/01/2019
08/01/2020'PERSONAL&ADV
INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X �E T n LOC
PRODUCTS - COMP/OP AGO
$ 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ L1000.000
BODILY INJURY (Par parson)
$
X ANY AUTO
B
OWNED �I SCHEDULED , 7359-90-85 08/01/2019
AUTOS ONLY L�f AUTOS
08/01/20201
BODILY INJURY (Par -cc fden0
$
PROPERTY D
�AMAGE
L accident
$
HIRED H NON NED
AUTOS ONLY AUTOS S ONLY
$
UMBRELLA UAB OCCUR
EACH OCCURRENCE
S
AGGREGATE
$
EXCESS LIAR CLAIMS -MADE
DED RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
C ANYPROPRIETORPARTNER/EXECUTIVE
o !
OFFICERIMEMBER EXCLUDED. No NA 90-20463-01 01/01/2019
(Mandatory In NH) NH)
OTH-
X STA TE ER
EL EACH ACCIDENT
--
I-- -------" _-- _
01/Ol/2020,-
' E.L. DISEASE - EA EMPLOYEE
$ 11000,000
- - -
$
_
S 1, 000, 000
It yes. describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
C workers Compansatlon 90-20463-02 01/01/2019
02/01/2020S.L. Each Accident $1,000,000
i Employers Liability
E.L.Disease—Each Emp $1,000,000
Per Statute
E.L.Disease-Pol Limit$1,000,000
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Addlltonal Remarks Schedule, may he attached i1 more space is required)
RE: Account 859200 Certificate Holder is named as an Additional Insured as respects the ongoing operations of the
Named Insured with respects to General and Auto Liability coverage where required by written and signed contract
subject to policy terms, conditions, limits and exclusions.
W'J►7
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
City Of Fort Collins
PO Box 580
Fort Collins, CO 80522
(9 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
sa TD 16291220 RATCa: 1297890
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