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Home My WebLink About618638 EVERLAST CLIMBING INDUSTRIES INC - INSURANCE CERTIFICATEAC"R" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 08/02/2019 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 Marsh USA, Inc. Two Alliance Center 3560 Lenox Road, Suite 2400 Atlanta, GA 30326 Attm ASanta.CertRequest@marsh.com / Fax: 212-948-4321 C N 102326389-CTS-GA U W X-19-20 INSURED Everlast Climbing Industries. Inc. dba Colorado Time Systems, Inc. Attention. Maria Townson 1551 E. 11th St. Loveland, CO 80537 Evanston Insurance Company 35378 Travelers Property Casualty Company Of America 25674 Ar:F Prhmntu And r.Anuity Inc rA 20699 COVERAGES CERTIFICATE NUMBER: ATL-004365421-25 REVISION NUMBER: 9 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYV LIMITS A X COMMERCIALGENERALLIABILITY MKLV2PBC000367 W0112019 08/01/2020 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE n OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100.000 SIR $10,000 Per Occ. X MED EXP (Any oneperson) $ EXCLUDED PERSONAL a ADV INJURY $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMPIOP AGG S 4,000,000 POLICYIT] EC PRO-LOC OTHER. POLICY AGGREGATE $ 10,000,000 g AUTOMOBILE "AL TJ-CAP-9DB97065TIL-19 0810112019 08101/2020 COMBINED SINGLE LIMIT (Ea Ea accident)_ $ 1,000,000 BODILY INJURY (Per person) $ AINY AUTO X BODILY INJURY (Par accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ Comp/Coll Ded: $1,000 $ X UMBRELLA DAB X OCCUR XOOG71549501001 08/01/2019 08/0112020 EACH OCCURRENCE $ 10.F0 000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DEO X RETENTION $ 2S OOOPE $ F B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROD YIN OFFIC RPMEMBER EXCLUDEDIECUTIVE N (Mandatory h1 NH) NIA U&2N106953-19-51-R UB-2N159031-19-51-K UB 7J602089-19-14-G 08/01/2019 08101/2019 1 0810112020 0810112020 X STATUTE ERH E.L. EACHACCIDENTAEM $ 1,000. 00 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 H as. describe under DESCRIPTION OF OPERATIONS bebw (See Additional Page.) E Excess Umbrella BE 015899319 08/01/2019 08/01/2020 Each Occurrence 15,000,000 Aggregate 15,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: RFP 8107 - Athletic Field Scoreboards City of Fort Collins is listed as additional insured as their interests may appear, during and until completion of the project, on a primary and non-contributory basis, on the General Liability via CG 2010 8 CG 2037 and Automobile Liability via CA T4 37 08 08 policies, as required by written contract. A Waiver of Subrogation applies in favor of the additional insureds on the Workers Compensation policy, where required by wntten contract, City of Fort Collins PO Box 580 Fort Collins. CO 80522 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 of Marsh USA Inc. Manashi Mukherleu _M.-u%A-Qo )4- te'%A a. - U 19DD-ZU1b At..UKU UUKVUKA 1 IUIV. All rignts reServeu. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD