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HomeMy WebLinkAbout104254 GALLS LLC - INSURANCE CERTIFICATEClient#: 1778682 I GALLSLLC11 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD/YWV) 6/22/2020 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(5), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE'CERTIFICdTE HOLDER. IMPORTANT. If the certificate holder Is an ADDITIONAL If INSURED, the policy(fes) must have ADDITIONAL INSURED provisions or be endorsed. SUBROGATION IS WAIVED, subject to the terms and ciinditions 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 f such endorsement(s). - -- PRODUCER-- .CONTACT--- NAME: USI Insurance Services LLC PH NE 513 852�300FA a� No aC No): 513 852-6428 312 Elm Street, 24th Floor EMAIL Cincinnati, OH 45202 ADDRESS: 513 852�300 INSURER(S) AFFORDING COVERAGE NAIL e .INSURER A: QBE Insurance Corporation 39217 INSURED INSURER B': General Casualty Company of Wisconsin 24414 Galls, LLC INSURER C : Praetorian Insurance Company 37257 1340 Russell Cave Road INSURER D : The Cincinnati Insurance Company 10677 Lexington, KY 40505 _ r. . A —A..— e 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 I 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, IBHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD I POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY X X CGA1365959 3/01/2020 03/01/2021 -EACHOCCURRENCE $1 OOO 000 CLAIMS -MADE a OCCUR PREMI9E5 EaENo �rrence $1 00O OOO MED EXP (Any one person) $1 O 000 PERSONAL S ADV INJURY $1,000,000 G_EN'L AGGREGATE LIMIT APPLIES PER: RO- POLICY ❑ JECT 7 LOC GENERAL AGGREGATE $2,000,000 PRODUCTS -COMP/OPAGG $2,000,000 $ OTHER: • AUTOMOBILE LIABILITY X X CBAC 65959 3/01 /2020 0.3/01/2021 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X NON -OWNED AUTOS ONLY IX BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ E B X UMBRELLA LIAB X OCCUR CCU1365959 3/01/2020 03/01/2021 EACH OCCURRENCE $10000000 AGGREGATE $10 00O 000 EXCESS LIAB CLAIMS -MADE 1 DED I X RETENTION $10 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTE ANY PROPRIETOR/PARTNER/EXECUTIVEE Y/ N OFFICER/MEMBER EXCLUDED? � NIA CWC7365959 3/01/2020 03101/2021.X PsETARTLi OTH- ER E.L. EACH ACCIDENT E1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 00O 000 (Idandatmy in NH) If yea describe under DESCRIPTION OFOPERATIONS below E.L. DISEASE - POLICY LIMIT $1 ,000,000 D Excess Liability EXSOi 70374 31011202:03/01/2021 $15,000,000 Limit E E Pollution _ _ PREE29196800 1/31/201 01/31%2021 $3 000,000 Limit -- - -- DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLE$ (ACORD 101, Additional The General Liability and Automobile Liability policies that provides Additional Insured status to The City, — — Remarks Schetlule, maybe attached if more apace Is required) include an automatic Additional Insured endorsement its officers, agents and employees, 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 Attn: Purchasing Dept. P.O. Box 580 Fort Collins, CO 80522 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 (2016103) _ 1 of 1 The ACORD name #Si9092101/M28117946 ©198 logo are registered marks of ACORD SBSZP All rights reserved.