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Home My WebLink About457775 FARNSWORTH INC - INSURANCE CERTIFICATE (4)ACCORV® CERTIFICATE OF LIABILITY INSURANCE DATE(MMODrcvrY) 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 endorsements . PRODUCER Cottingham &.Butler Robert Heath O T CT NAME: PNONE FAX -.563-587-5000 Ac No:563-583-7339 ADDRESS: 800 Main St. INSURERS AFFORDING COVERAGE NAIC If Dubuque IA 52001 INSURERA: Hartford Fire Insurance Company 19682 INSURED FARNGRO-01 INSURER S r Travelers Property Casualty Company of America 25674 Farnsworth Group, Inc. 2709 McGraw Drive INSURERC: Twin City Fire Insurance Co. 29459 INSURER D.: Bloomington IL 61704 INSURER E INSURER F cnVFRAGFS CFRTIFICATF NUMBFR:90215253A3 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 SUER _ POLICY -NUMBER POLICY EFF MMIDD/Y1'YY POLICY EXP MM DD LIMBS A X COMMERCIALGENERALLIAMPTV 83 LEN. OB 8121 4/l/2020 4/1/2021 EACH OCCURRENCE $ 1,000,000 F _V� CLAIMS -MADE OCCUR DAMAGE TO RENTED .PREMISES Ea occurrence $300,000 MED EXP,(An one person) $ 10,000 .PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 1:11 JEC LOC PRODUCTS _COMP/OPAGG $2,000,000 -- - - $ - OTHER: A AUTOMOBILELIABILITY - _- UENOB8122 - il/ j 4/1/2020 4/1/2021 COMBINED SINGLE LIMIT Ea accident - - $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS O1.NLY BODILY INJURY (Per accident) $ "PROPERTYDAMAGE Peraccident $ B X UMBRELLALIAB X_ OCCUR ZUP-61 M71617 4/l/2620 4/1/2021 EACH OCCURRENCE $6,000,000 AGGREGATE $6,000,000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION$ $ C AND EMPLOYERS' LIABILITY WORKERS COMPENSATION ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑ B3 WE OB8GOH 4/1/2020 4/1/2021 X STATUTE ERH E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $.1,000.000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 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. I1aiLe1R1R:1 The City of Fort Collins P.O. Box 580 215 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. 5 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD