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Home My WebLink About605890 WESTERVELT COMPANY - INSURANCE CERTIFICATEA� ROB CERTIFICATE OF LIABILITY INSURANCE DAT `7/ 00/220119 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 Aon Risk Services South, Inc. Franklin TN office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A)C. No. F-xt): MC. No.): E-MAIL ADDRESS: 501 Corporate Centre Drive Suite 300 INSURERS) AFFORDING COVERAGE NAIC 1f Franklin TN 37067 USA INSURED INSURER A: Lloyd's Syndicate No. 3624 AA1120098 The Westervelt ComDanv INSURERS: Attn: Gary Dailey 1400 lack Warner Parkway NE INSURER C: INSURER D: Tuscaloosa AL 35404 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570077471586 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER MMIDDM'YV MMIDD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑ OCCUR DAMAGE TO RERT1717— PREMISES Ea occurrence MED EXP (Any one person) PERSONAL B ADV INJURY GEN'L AGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE POLICY ❑ PRO ❑ LOC JECT PRODUCTS-COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY ( Per person) ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident UMBRELLA LAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR CLAIMS -MADE DED I RETENTION 9 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE I PER OTH. STATUTE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) It yes, d scrbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT A E&O-PL-Primary MPL208597818 10/31/2018 10/31/2019 Each Claim $3,000,000 Claims Made Aggregate $3,000,000 SIR applies per policy ter s & condi ions Retention $75,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins CO 8OS22 USA t� c//l.�cYG r�iLuraeD �wr�� eJ �za. `m 91988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD