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Home My WebLink About391229 SITEWISE LLC - INSURANCE CERTIFICATE (2)Client#: 1483410 PEAKUTI ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 9/12/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Client Manager USI Colorado, LLC Construction PHONE FAX P.O. Box 7050 AIc No, Et : 800 873-8500 A/C, No): 303-831-5295 ADDRE Englewood, CO 80155 SS: den.contractors@usi.com 800 873-8500 INSURER(S) AFFORDING COVERAGE NAIC III - _ INSURER A: ArchInwnncs CempmY 11150 INSURED '16624 SItewise, LLC INSURER B:aka iWong Specialty Y lnLompsn 4725 Independence Street, Suite 100 INSURER C : INSURER D: Wheat Ridge, CO 80033 COVERAGES CERTIFICATE NUMBER: RFVISIr1N 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 CONTRACTOR 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 AIDOLSUBR INSR POLICY NUMBER POLICY EFF MMIDD POLICY EXP "MUD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X ZAGLB9220702 0/01/2018 10/01/201 EACH OCCURRENCE $5000000 NTTEO ce PREMISES EaEOcCurran $100 000 MED EXP (Any one person) $10,000 PERSONAL B ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: XI POLICYECT F7LOC OTHER: GENERAL AGGREGATE $5,000,000 PRODUCTS -COMPIOP AGG $5,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUTOS ONLDV X X ZACATS242602 11/0112018 10/01/201 Is Ea accident) SINGLE LIMIT 5,000,000 XI BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE X X 03115397 10/01/2018 10/01/201 EACH OCCURRENCE s7 000 000 AGGREGATE s7,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LU181Lfi1' ANY PROPRIETORJPARTNERIEXECUTNE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below, NIA X ZAWC19401302 10/01/2018I10/01/201 RH• X PER ER E.L. EACH ACCIDENT $S OOO OOO E.L. DISEASE - EA EMPLOYEE $5,000,000 E.L. DISEASE -POLICY LIMIT 1 $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) The General Liability policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Fort Collins, only when there is a written contract that requires such status, and only with regard to work performed on behalf of the named insured. City of Fort Collins P.O. 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1 of 1 #S26556731/M24073117 V 19UU-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SPAZP