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Home My WebLink AboutCOGENT INC - INSURANCE CERTIFICATE (7)A CERTIFICATE OF LIABILITY INSURANCE DAT03 0/2o 0YYY, 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 UR BELOW. THIS CERTIFICATE OF INS ANCE 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(ies) 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 rights to the certificate holder In lieu of such "endorsement(s). PRODUCER CONTACT NAME. Aon Risk Services Central, Inc. Chicago IL Office 200 East Randolph Chicago IL 60601 USA (A/C. No. Fxt): C866) 283-7122 ac (800) 363-0105 E-MAIL ADDRESS: IRSURER(S) AFFORDING COVERAGE NAIL P INSURED INSURER A: Zurich American Ins CO 16535 cogent, Inc, Automatic Engineering, Fluid Equipment, LLC, BRI, Catalyst, Liberty Facility, LLC, IME Solutions, INSURERB: American Zurich Ins co 40142 INSURERC:_ Travelers Property Cis CO Of America 25674 Lee Mathews, Vanco, Vandevanter Enggineering, Water Technology Group 318 BrbadWay St. Kansas City Mo 64105 USA INSURER D: ---- - - - INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570081190028 REVISION NUMBER: 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. Limits shown are as requests LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YY MM/DD/ LIMITS X COMMERCIAL GENERAL LIABILITY GLO04/01/2021 - EACH OCCURRENCE $21000,000 CLAIMS -MADE X� OCCUR 1AMIXISEPREMISETO-AMED occurrence)$500, 000 MED.EXP (Any one person) $10., 000 PERSONAL& ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 X POLICY ��E T ❑ LOC PRODUCTS '-COMP/OPAGG $4,000,000 OTHER: A AUTOMOBILE LIABILITY BAP 1060783-03 04/01/202004/01/2021 COMBINED SINGLE LIMIT Ea accident) $2,000,000 A BAP 1060784-03 04/01/2020 04/01/2021 BODILY INJURY ( Per person) AUTO BODILY INJURY (Per accident) _ X OWNED SCHEDULED Ij(ANY AUTOS ONLYNAUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident C X UMBRELLALIAS EXCESS LIAB X OCCUR CLAIMS -MADE ZUPl N4815420NF EX Follow Form & Umbrella 04 01/2020 04 O1.2021 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N OFFICEWMEMBER EXCLUDED? N (Mandatory lnr+R) N / A WC1.06078103 04/01/202 04 01,2021 X I PER STATUTE I OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASEEA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I I E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addldotlal Remarks Schedule, may be ettacheA B more spaw Is reWlred) - The City of Fort Collins are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION k3 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ..- _ _ IXPIRATION DATE THEREOF, NOTICE WILL BE _.. _. - _ -' -- . DELIVERED IN ACCORDANCE WffH Tiff .. POLICY PROVISIONS. The City of Fort Collins AUTHORIZED REPRESENTATIVE PUrchasingg Department PD cox Fort Collinsli CO 80522 USA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Additional Insured — Automatic — Owners, Lessees Or Contractors ZURICHa THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 10 6 0 7 8 2 0 3 Effective Date: 4/1 /2020 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section 11— Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph I., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07104 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, U-GL-2162-A CW (02/19) Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc., with its permission.