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Home My WebLink About539869 LIGHTFIELD ENTERPRISES - INSURANCE CERTIFICATE (7)ACORb" CERTIFICATE OF LIABILITY INSURANCE `„/ DATE(MMIDDIYYYY) 8/13/2019 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 The Harry A. Koch Co P.O. Box 45279 Omaha NE 68145-0279 CONTACT NAME: PHONE FAX 402-861-7000 Ac No; ADDRESS: INSURE S AFFORDING COVERAGE NAIC 4 INSURER A: National Union Fire Ins Co. of Pitt 19445 INSURED LIG46636 Lightfield Enterprises 2600 Midpoint Drive INSURER B: New Hampshire Ins Company 23841 INSURER C: INSURER D: Fort Collins CO 80525 INSURER E : INSURER F : COVERAGES CERTIFICATE Nl)MRFR• Qn7g1RnQA RFVISIr1N NIIMRFR• 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 ADOL R POLICY NUMBER POLICY EFF MMIDD/YYYY) POLICY EXP iMMIDD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXIOCCUR Y 3506965 6/1/2019 6/1/2020 EACH OCCURRENCE $1,000,000 PREMISESEa occurrence $ 300,000 MED EXP (Ary one person) $ 25,000 PERSONAL B ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY a PRO- JECT F_x1 LOC OTHER GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGO $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 4544903 6/1/2019 6/1/2020 COMBINED INGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Par person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE Per am nt $ UMBRELLA LIAR EXCESS LING OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ LIED RETENTIONS $ g WORKERS COMPENSATION AND EMPLOYER$' LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE N OFFICER/MEMBER EXCLUDED? (Mandatory In NHt If yes, describe under DESCRIPTION OF OPERATIONS below NIA 25893880 6/1/2019 6/1/2020 X ISTATUTE ERH E.L EACH ACCIDENT $1,000,000 E.L DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE. City of Fort Collins Transfort Bus stop Upgrades City of Fort Collins is additional insured for general liability and automobile if required by written contract executed prior to lass. L"A..ialaLW--ME'411I.LvPa0la M City of Fort Collins Attn: Purchase Dept. PO Box 580 Fort Collins CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOBMED REPRESENTATIV ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD