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AEORO® CERTIFICATE OF LIABILITY INSURANCE
DATE(MWDD"YYY'
10/01/2019
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELYOR 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(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms end conditions of the policy, certain policies may require an endorsement. A statement on
thls:certificate.does not confer rights to the certificate holder ln.11eu of such endorsement(s).
PRODUCER
Wulia Torera Watson Northeast, Inc. fka Willis of'Nev York, Inc.
c/o 26 Century Blvd
P.O. Box 305191
NAMEGT
PHONE 1-877-945-7378 C No• 1-898-467-2378
... .. ....... .
AQ RE : certificates@Nillia.com
:INSURER AFFORDING COVERAGE
NAICC
Nashville, TN 372305191 USA
INSURER A: Zurich American Insurance Company
16535
INSURED
AN Coneervatlon Group, Inc.
INSURERS: Arch Insurance Company
11150
1701 Charleston Parkway
INSURER C:
INSURERD:
.Charleston, SC 29492
INSURER E
_
IN8URER F: -
GOVERAGES CERTIFICATF NUMBER' W13234337 RFVLCNIN N11110R00•
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 CONTRAOT OR OTHER. DOCUMENT WITH' RESPECT TO. WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LRTPE
OFINSURNE
U R
I POUCYNUMBER
OUD�-�rDYYriT
MDMf
MMDY
LINTS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X I OCCUR
Y
CPO 0146471-03
10/01/2019
-
09/01/2020
EACHOCCURRENCE
$ 1,000, 000
L)AIAGF TO RENTED
PREMISES Ea occurrence
$ 1, 000, 000
MED EXP (Any oneperson).
$.. 10, 000
PERSONAL 6 ADV INJURY
$ 1;.000,006
GENI AGGREGATE. LIMIT APPLIES PER:
POLICY ❑ JE07 7 LOC
OTHER:
GENERAL AGGREGATE.
$ 2,.000,000
.PRODUCTS-.COMPIOP AGG .
$... 2, 000, 000
$
A
AUTOMOBILELWBILITY
ANYAUTO
OWNED SCHEDULED
AUTOS ONLYPAUTOS-
HIRED NON -OWNED
ONLYAUTOS ONLY
Y
CYO 0146411-03
10/01/2019
09/01/2020
COMBINED SING umrr
(Ea accidenll
$ - 1,,000,000
x
BODILY INJURY (Per person)
$
BODILY INJURY (Per accidsnU
$
PROPERTY DAMAGEAUTOS
Per a oid 11
is
UMBRELLA LIAB I OCCUR
EXCESS LIAB I CLAIMS -MADE
EACHOCCURRENCE
Is
AGGREGATE
$
DED I I RETENTION$,
-
$
B
WORKERS COMPENSATION:.
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNERIEXECUTIVE YIN
OFFICERIMEMSEREXCLUDED7 ❑
(Mandatory In NH)
Ifunder
OF OPERATIONS below
-
IINCTIO22000
-
09/01/2619
-
09/01/2020
X TA7 E.ERH
E.L. EACH ACCIDENT
1, 000, 000
$,NIA
E.L. DISEASE - EA EMPLOYEE
S 1,000,000
P.L. DISEASE - POLICY LIMIT
$ 1, 000, 000
I
DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Ack ilional Remarks Sehadulo, may be attached U more space is requtred)
City of Fort Collins is included an an Additional Insured as respects. to General Liability andAutomobile Liability.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE 10TH THE POLICY PROVISIONS.
City of Fort Collins
PO -BOX. 580
Fort Collins. CO BOB
All
ACORD.25 (2016/03) The ACORD name and logo are registered marks of ACORD
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