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Home My WebLink About636517 BKD LLP - INSURANCE CERTIFICATEA� 0 BKDLLPO-01 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 9/2312019 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 CONTACT Cathy McGuffey, CRIS, MLIS Van Meter Insurance Group PHONE FAX (AC. No, E.t): (270) 529-1386 4254 (A/C, No):(270) 467-1254 Houchens Insurance Group 1240 Fairway Street ADDRESS: cmcguffey@higusa.com Bowling Green, KY 42103 INSURER(S) AFFORDING COVERAGE NAIC # INSURER AFederal Insurance Company 20281 INSURED INSURER a: Hartford Accident and Indemnity Company 22357 BKD, INSURER C: Great Northern Insurance Company 20303 Attn: Scott Henderson 910 E St Louis Street INSURER D : Springfield, MO 65806 INSURER E: INSUREK F: COVERAGES CERTIFICATE NUMBER: 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. It= TYPE OF INSURANCE AODL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIALGENERALLNBILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR _ 13580-17-35 9130/2019'1 '9=12020 DAMAGE TO RENTED 1,000,000 PREMISES (Ea occurrence) $ X Per Loc Agg 10Mill C MED EXP (Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GEML -_ AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY X JECT X LOC I PRODUCTS -COMPIOP AGG $ Included X OTHER'. Blanket Additional Insured 'Employee Benefi A AUTOMOBILE LIABILITY 'COMBINED SINGLE LIMIT (Ea accident) $ _ 1,000,000 ANY AUTO 7498-28-67 9/30/2019 9/30/2020 BODILY INJURY (Per Person) OWNED ��SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident). $ _ $ WNE PROPERTY pAMAGE X OUR S ONLY .. x AUU ONLDY (Per accident) $ A X UMBRELLAUAB X OCCUR EACH OCCURRENCE $ 20,000,000 EXCESS LIAB (CLAIMS -MADE 7980-86-57 9/30/2019 9/30/2020 AGGREGATE $ 20,000,000 DIED X RETENTION $ 0 $ B WORKERSAND COMPENSATION ABII YIN ANY PROPRIETOR(PARTNER/EXECUTIVE —� JaFICER/MEMgER EXCLUDED? ,^a^dat°ry m NH) � � yes, describe under DESCRIPTION OF OPERATIONS below NIA X STATUTE I ER 1,000,000 33WBBZ4435 9/30/2019 9/30/2020 1,000,000 E.L. EACH ACCIDENT $ E L.. DISEASE - EA EMPLOYE $ 1'000r000 E.L. DISEASE - POLICY LIMIT 1,000,000 A 'Property _ 3580-17-35 9/30/2019 9/3012020 Property C 'Foreign Liability 7351-42-06 9/30/2019 9/30/2020 General Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder, its officers, agents and employees shall be listed as additional insureds in regards to the Genera( Liability and Auto Liability for any claims arising out of work performed under this agreement as required by written contract. 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. AUTHORIZED REPRESENTATIVE City ofFort Collins, Colorado 300 Laporte porte Avenue Fort Collins. CO 80521 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD