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HomeMy WebLinkAbout618638 EVERLAST CLIMBING INDUSTRIES INC - INSURANCE CERTIFICATE (2)ACOROU CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 0810212019 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 riqhts 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 Attn: Atianta.CertRequest@marsh con I Fax 212-948-4321 CN102326389-CTS-GAU WX-19-20 INSURED Evedast Climbing Industries. Inc. dba Colorado Time Systems, Inc. Attention: Mena Townson 1551 E. 11th St. Loveland, CO 80537 COVERAGES CERTIFICATE NUMBER: ATL-004365418-22 REVISION NUMBER: 3 19445 25615 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 ADDLSUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY MKLV2PBC000367 08/01/2019 08/0112020 EACHOCCURRENCE $ 2,000,000 CLAIMS -MADE a OCCUR DAMAGE TO RENTED PREMISES Eaoccurrana $ 100.000 X MED EXP (Any one person) $ EXCLUDED SIR $10,000 Per Occ. PERSONAL a ADV INJURY $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4.000,000 POLICY E JECT LOC PRODUCTS - COMP/OP AGG $ 4,000.000 POLICY AGGREGATE $ 10,000,000 OTHER. B ADTOMOMLELIABILITY TJ-CAP-9D897065TIL-19 0810112019 08/01/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY iPw peisun) $ AINY AUTO OWNEDONLY AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Comp/Coll Ded: $1,000 $ X I UMBRELLA LIAB X OCCUR XOOG71549501 001 08/01/2019 08/01/2020 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION$25000 $ F p B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/FJCECUTIVE OFFICERIMEMBEREXCLUDED7 (Mandatory in NH) N/A UB-2N106953-19-51-R U&2N159031-19-51-K UB-7J602089-19-14-G UB/0112019 08/01/2019 08/0112019 0810112020 08101/2020 08/01/2020 X I PERSTATUTE OTH- ER E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE _ $ 1.000,000 It yes describe under DESCRIPTION OF OPERATIONS below (See Additional Page) E.L. DISEASE -POLICY LIMIT $ 1,000,000 E Excess Umbrella BE 015899319 0810112019 08101/2020 Each Occurrence 15,000.000 Aggregate 15,000,000 DESCRIPTION OF OPERATIONS LOCATIONS 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 protect, on a primary and non-contributory basis via CG 2010 8 CG 2037 , as required by wrlllen contract. A Waiver of Subrogation applies in favor of the additional Insureds on the Workers Compensation policy, where required by written 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 Mukherjee _Mcx•..a.m�.: ..$�a..,s..cc....a,..,du. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD