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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