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Home My WebLink About457775 FARNSWORTH INC - INSURANCE CERTIFICATE (3)AcoRLY CERTIFICATE OF LIABILITY INSURANCE Ili DATE{MM/DD/YYYY) 1 3/31/2020 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 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 Cottingham & Butler Robert Heath 800 Main St. S ACT NAME: .PHONE .. FAX .. • 563-587-5600 A/C No): 563-583=7339 n DRESS: INSURERS AFFORDING COVERAGE NAIL#- Dubuque IA 52001 .INSURERA: Hartford Fire Insurance Company 19682 INSURED FARNGRO-01. INSURER B:Travelers 'Property Casualty Company of America 25674 Farnsworth Group, Inc. 2700 McGraw Drive INSURER c :Twin City Fire Insurance Co. 29459 INSURER D:.Great Northern Insurance Company 20303 Bloomington IL 61704 .INSURER E:, INSURERF:. r`f1VFRAr:FC r_FRTIFIr`ATF NIIMRFR-Q1Q77A.'{5'R 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 LTRWVn rypE OF INSURANCE ADDL SUBR --POLICILNUMBER MMLDDY EFE /Y..YYY MOLICY EXP DD YY LIMITS A X COMMERCIAL GENERAL LIABILITY 83 UEN. OB 8121 4/1/2020 4/1/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE FxIOCCUR DAMAGE TURERT1515-- PREMISES (Ea occurrence $300,000 MED EXP (Any oneperson) $10,000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRCT OFK LOC JE $ OTHER: - ---- - -- -- A AUTOMOBILE LIABILrfY 83UEN088122 4/1/2020 4/1 /2021 Ea accident COMBINED SINGLE LIMIT. -"---- 81,OOD,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAa X OCCUR ZUP-61M71617 4/1/2020 4/1/2021 EACH OCCURRENCE $8,000,000 AGGREGATE $ EXCESS uAB CLAIMS -MADE DIED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y I❑N 83 WE OB8G0H 4/1/2020 4/1/2021 ER- X STATUTE I I ER --- E.L. EACH ACCIDENT - $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A E.L. DISEASE - POLICY LIMIT ...$ 1,000.000 If yyes, describe under DESCRIP,TION.OF- OPERATIONS .below _. D A Property Inland Marine 3605-04-86 83 MVZV0526 4/1/2020 4/1/2020 4/1/2021 4/l/2021 Blanket Building/BPP Valuable Papers INLM Rented/Leased $20652000 $841721 $100,000 DESCRIPTION - .._ _ _ ..._ OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks8chedule,may be attached if more space is reGulred) FTC Farnsworth Group Inc. Project Manager Eric Cluver The City of Fort Collins, its officers, agents, and employees are additional insured on the General Liability and Auto Liability policies per written contract between the named insured and the certificate holder that requires such a status subject to; the terms and conditions of the endorsement attached to the policy. A 30-day notice of cancellation is provided by the insurance company to the certificate holder as outlined by the endorsement attached to the General Liability policy_ The City of Fort Collins P.O. Box 586 215 N Mason 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.. 1988-2015' ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD All rights