HomeMy WebLinkAbout104689 TOLIN MECHANICAL SYSTEMS COMPANY LLC - INSURANCE CERTIFICATEsacoaoe CERTIFICATE OF LIABILITY INSURANCE
`� 4/1/2021
F DATE(MM/DDIYYYY)
1 3/17/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHECERTIFICATE HOLDER. THIS
CERTIFICATE. DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER'THECOVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF. INSURANCE DOES: NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVEOR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT:. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e'edorsed.
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 Lockton Companies
444 W. 471h Street, Su to 900
Kansas City MO 64112-1906
(816)960-9000
-- - - - --- -
N E:
aC 1,0 EXt : FAX
a/c; No
EaUUL:- -
• -
I S DING COVERAGE
CA
INSURER A: Greenwich Insurance Company
22322
INSURED TOLIN MECHANICAL SYSTEMS COMPANY, LLC
1398315 12005 EAST 45TH AVENUE
DENVER CO 80239
INSURER B : The Cincinnati Insurance Company
10677
INSURER C : Zurich American I . mercansurance Company
16535
--
Steadfast Insurance Companytompany
26387- _
INSURER F XL Insurance America, Inc.
24554
INSURER
CnVFRAGFC ceonolr•eTo YIIMOCD• 1ZCd GlIAU eGaarel^&I alrlaae eft. VVVV
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._ -
INSR
LTR
-
TYPE OF INSURANCE
ADDL
SUER-
-
POLICY NUMBER
POLICY EFF
(MM
POLICY EXP
(MMID
- -
LIMITS- _-
A
X
COMMERCIAL GENERAL LIABILITY
Y
N
RGD300147501
4/1/2020
4/1/2021
EACH OCCURRENCE
S 2,000,000
CLAIMS -MADE OCCUR
DAMAGE TO RENTED
PREMISE Ea occurrence
500,000
MED.EXP_(Any.one Person),
ss 10,000
PERSONAL 8 ADV INJURY
$ 1 00O 000-_ -
GE_NLAGGREGATE .LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4000000
POLICY Ea LOC
PRODUCTS-COMP/OP AGG
$ 4000000
OTHER:
$
A
AUTOMOBILE
LIABILITY
Y
N
RAD943796401
4/l/2020
4/l/20N
COMBINED SINGLE LIMIT
Ea accident
$ -5 000000
BODILY INJURY (Per person)
$ Xyy,,XX'}{}{
ANY AUTO -
Ix
OWNED
AUTOS ONLY AUTOSULED,
BODILY INJURY (Per accident
$ YYYYY X
HIRED - NON -OWNED
AUTOS ONLY X AUTOS ONLY
PROPERTY DAMAGE"----
Per acaden - -
$ XXXXXXX
$_XXX7{J��X
B
X
UMBRELLA LWB
I X
OCCUR
N
N
EXS0572000
4/1/2020
4/1/2021
EACH OCCURRENCE
$ 5 000 000
AGGREGATE
$ 5,000,000
EXCESS uAB
CLAIMS -MAD
DED I X .RETENTIONSO-
$ }xx}{} xxx
E
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Ylti
N
RWD300147601
4/1/2020
4/1/2021
PER OTH-
X STATUTE ER
E.L EACH ACCIDENT
$ _ 1000000 .
� ICRERMIEMBER EXC UDEED'! ECUTNE N❑
N / A
E.L. DISEASE - EA EMPLOYEE
1000000
(Mandatary In NH)
If
DESCRIPTION OF OPERATIONS below _
E.L. DISEASE -PODGY LIMIT
1000000 - _
D
POLL/PROFLIABILITY
N
N
E005833423-08
4/l/2020
4/l/2021
$10,000,00OOCC/AGG
C
INSTALLATION FLTR
CPP4986518-10
4/l/2020
4/1/2021
$1,500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule,. may beptlsehad ff more space is required)
CITY OF FORT COLLINS IS ADDITIONAL INSURED ON GENERAL AND AUTO LIABILITY COVERAGE, AS REQUIRED BY WRITTEN
CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY.
VCR I Ir'IVA I.0 AV WGR GAIVGCLLA I IVIV
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
13545069 AUTHORIZED REPRESENTATIVE
CITY OF FORT COLLINS
P.O. BOX 580
FORT COLLINS CO 80522
tAl AV
ACORD 25 (2016103) 01 8-2015 ACORD CORPORATION. All rights reserved
I ne AcvRD name and logo are registered marks of ACORD