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Home My WebLink About113275 ALM2S - INSURANCE CERTIFICATE (3)A�O ® CERTIFICATE OF LIABILITY INSURANCE °Ao izszo"o " THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMAT10N 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the popsy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(a). PRODUCER Brown & Brown of Colorado, Inc. 4532.Boardwalk Dr., Suite 200 Fort Collins CO 80525 CONTACT NAME. Alta Villarreal Al PHONE (970) 482-7747 1AC No): (970) 48"165 E AIL certificates@bbcolorado.com ADDRESS: INSURER(S) AFFORDING COVERAGE_ NAIC 0 INSURER A: Westfield -Insurance Company 24112 INSURED alm2s 712 Whalers Way, Ste. B-100 Fort Collins CO 80525 INSURER8: Pinnaool Assurance 41190 INSURERC: Everest National Insurance Company 10120 INSURERD: INSURER E : - _ .INSURER F.: envcoer_cs r_FmIgCeTtF AIt1IY1RrR. 20-21 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES -OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICY 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. NSR LTR TYPE OF INSURANCE POLICYNUMBER MM/D F MMID -UNITS_ X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 CLAIMS -MADE 7x OCCUR DAMAGE TO RENTW PREMISES Ea occurrence E 100,000 MEDEXP (Any one rsan E 5,000 EPL-$100,000Aggregate A Y BOP3719966 04/01/2020 04/01/2021 PERSONAL& ADV INJURY E 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE E 2,000,000 PRODUCTS-COMP/OP AGG. E 2-000,000 X JLOC POLICY ❑EC _Employee Benefits - $ '1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident E 1,000,000 BODILY INJURY (Per person) E X ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y BOP3719966 04/01/2020 04/01/2021 BODILY INJURY (Per accident) E PROPERTY DAMAGE Per acciden E E X UMBRELLA UAB X OCCUR EACH OCCURRENCE E. 2,000,000 A EXCESS LIAB CLAIMS -MADE BOP3719966 04/01/2020 04/01/2021 AGGREGATE E 2,000,000 DED I >< RETENTION E 0 E B WORKERS COMPENSATION AND EMPLOYERS YIN LIABILITY ANY PROPRIETORMARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? O (Mandatory In NH) NIA 1951272 04/01/2020 04/01/2021EL. X STATUTE EH R EEACH ACCIDENT E 1,000,000 E.L. OISEASE-EA EMPLOYEE..$ 1,000,000 - EL DISEASE- POLICY LIMIT E 1,000,000 If yes, describe under DESCRIPTION' OF OPERATIONS below Aggregate Limit $2,000,000 C Professional Liability PL5E000679-201 04/01/2020 04/01I2021 Each Claim Limit $2,000,000 Deductible $1COW _ .DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 707, Additional Remarks Schedule, may be attached N more space Is required) RE: Park Architectural Services On -Call City of Fort Collins, its officers, agents and employees shall be included as additional insured with respect to General Liability and Automobile Liability per policy forms and Conditions on page 2. 30 Day Notice of Cancellation applies to General Liability and Automobile Liability. PCRTICICATC He nMR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AurHoNlZEo REaitEswrarnE Fort Collins CO 80522 W TSa6-2DT5 AGVKU GVKFVKAI ION. All rlgnits reserves. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD ACR& tft� AGENCY CUSTOMER ID: 00311726 LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Brown &Brown of Colorado, Inc. NAMED INSURED a1m2s POLICY NUMBER CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance: Notes by Blanket Additional Insured BP 0451 Primary and Non -Contributory BP 1488 Blanket Waiver of Subrogation BP 0497 Insured - State or Governmental Agency or Subdivision or division - Permits or Authorization Relating to Premises BP 0407 Additional Insured - Owners Lessees or Contractors with all Insured Requirements for Parties in Construction Contract Blanket Additional Insured CA 7b78 Blanket Waiver of Subrogation CA 0444 Umbrella - Following Form Aforkers Compensation - Blanket Waiver of Subrogation 359-B The ACORD name and logo are registered marks of ACORD