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Home My WebLink About429371 HILLEN CORPORATION - INSURANCE CERTIFICATE (3)J!C?gb® CERTIFICATE OF LIABILITY INSURANCE REVISED DATE(MM/2020 Y) 04/01 /020 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE:HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, thepolicy(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 MACHANN INSURANCE AGENCY 11160 NO. HURON, STE. 36 S"N E>t:303-452-5738 FAX No: EAVDREss: INSURER(S) AFFORDING COVERAGE NAIC # NORTHGLENN, CO 80234 INSURER A: TRAVELERS PROPERTY CASUALTY CO. OF 25674 INSURED INSURER B: TRAVELERSINDEMNITYCO. OF CONNECTICUT 12637 INSURER C: COLONY INSURANCE CO. HILLEN CORPORATION INSURER D: ONE BEACON 7600 DAHLIA INSURER E: WESTCHESTER SURPLUS LINES INS. CO COMMERCE CITY, CO 80022 INSURER F: C.OVERAGE5 CERTIFICATE NUMBER:. 100130 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. INSR. LTR TYPE OF INSURANCE ADDL INSO SUBR WVO POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR XCU DT-CO_-325D2910-TIL-20 4-1-20 4-1-21 EACH OCCURRENCE $ 1,000,000 PREMISES(Eaoccurrrence) $ 300,000 X MED EXP (Any one person) $ 10000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE $ .2,000,000 PRODUCTS -:COMP/OPAGG $ 2-000 000. $_ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUUTOS ONLYY POLLUTION P 810-8M616759-20-26-G 4-1-20 4-1-P1 COMBI ED IN LE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (P PERTV DAMAGE (Peraccident) - - 8 X $ (,' UMBRELLA GAB X EXCESS GAB OCCUR CLAIMS -MADE XS174260-0 4-1-20 5-1-20 EACH OCCURRENCE g 1.0,000,0.00 X AGGREGATE $ 1.0,000,000. DED RETENTION $ $ WORKERS COMPENSATION _. _ AND EMPLOYERS'LWBIGTY � � Y/N ANY PROPRIETOR/PAR I NER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If.yes,.descnbe under DESCRIPTION OF OPERATIONS below NIA P - T ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ D E I LEASED & RENTED EQUIP. POLLUTION LIABILITY 790-00-55-80 G71797806001 4-1-20 4-1-20 4-1-21 4-1-21 $600,000 LIMIT -PER ITEM $500,000 ALL ITEMS DEDUCTIBL-2,600 LIMIT$1,e00,000 OCCURRENCE S2,000,000 AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) AS REQUIRED BY CONTRACT, THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED'S UNDER THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY. THE CITY OF FORT COLLINS PURCHASING DEPARTMENT 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. REPRESENTATIVE ACORD.25 (2015103) The ACORD name and logoare registered marks of ACORD