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HomeMy WebLinkAboutGOVERNMENT BRANDS HOLINDS LLC - INSURANCE CERTIFICATEClient#: 93777 GOVEBRAN DACORD. CERTIFICATEOLIILTINSURANCE 1ATE 6/zo2o 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 policyges) 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). Edgewood Partners Ins. Center 2405 Satellite Blvd., Ste. 200 Duluth, GA 30096 770 232-0202 INSURED Government Brandt Holdings, LLC 3025 Windward Plaza Suite 200 Alpharetta, GA 30005-8728 INSURER A: Hartford Fire Insurance INSURER C :Hartford Casualty Insurance Company 129424 INSURER D: Indian Harbor Insurance Co 36940 oistnam E • Freedom Specialty Insurance Company. 123787 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 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, (SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MAr/DD"M POLICY EXP (MMMDIYYM UNITS A X COMAAERCIIILGENERAL LIABILITY X X 2000NE02748 6/20_�20.20 0612.0/2021 EEDAAqCCMHHqGOCCURRENCE $1 OOOOOO CLAIMS -MADE 51 OCCUR PREMISES Ea,cLErrenoe 000,000 MEDFXP An one person) PERSONAL $ ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECCT LOC OTHER: GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGO s2,000,000 $ 8 AUTOMOBILE LIABILITY X X - ... 2000NEF2748 ' --.. - ,8 D-'� .... ' 6120I2020 ... 06/20/2021 COMBINED SINGLE LIMIT (Ea accident 1,000,000 X .BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS,. AIR O ONLY X NON -OWNED AUTOS ONLY X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Comp•1,000 $Coll-1,000 1 C X UMBRELLA LIAR X OCCUR X X 20XHUEF3101 D612012020 06/20/2021 EACH OCCURRENCE $5 000 OOO AGGREGATE $5 00O 000 EXCESS LIAR CLAIMS -MADE DED I X RETENTION $10000 $ A WORKERS COMPENSATION— - - AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICERIMEMBER EXCLUDED? F_N1 (Mandatory in NH) NIA X 20WE AE6UOE - 1/01I2020 - - 01/01I2021 - - X PER. OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE -. EA EMPLOYEE $1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT 0,000,000 D Professional Liab X MTP9.03664301 6/2012020 66/20/2021 5,000,000 D Cyber Liability X MTP903664301 6/20/2020 06/20/2021 5,000,000 E I Excess-D&O-& - t.. XMF1803589 6/2012020 06/20/2021 5 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 107, Addlaonal Remarks Schedule, may -be attached If more space Is required) City of Fort Collins is included as additional insured with respect to General liability and Auto liability as as per written contract or agreement, subject to ffie policys terms, conditions and exclusions. CI of Fort Collins SHOULD ANY OF THE ABOVE. DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 AUTHOR12ED REPRESENTATIVE *1 ©'1988-2015 ACORD CORPORATION. All rights ACORD 25 (2016/03) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S2261475/M2261271 I RRIC7