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Home My WebLink About441221 HIGH PLAINS INFORMATION SYSTEMS - INSURANCE CERTIFICATEACOR"` CERTIFICATE OF LIABILITY INSURANCE 4n/2016 DATE(MM/DD/YYYY) 1 6/23/2015 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 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 Lockton Companies NAM EA 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 A A/C, No Ext :INC, No E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # INSURER A: Old Republic Insurance Com anV 24147 INSURED High Plains Mechanical Service, Inc. INSURER B : Grcat American Insurance Company 16691 1398315 2020 Airway Avenue Fort Collins CO 80524 INSURER C : Zurich American Insurance Company 16535 INSURER D : AlG Specialty Insurance Company 26883 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 13545069 REVISION NUMBER: XXXXXXX 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y A7CG09491500 6/22/2015 4/1/2016 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 3OO OOO CLAIMS -MADE � OCCUR MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY JECOT- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY Y Y A7CA09491500 6/22/2015 4/1/2016 Ea acccdentSINGLE LIMIT $ 2,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AUTOS NED SCHEDULED OUTOS BODILY INJURY (Per accident $ X}{X]{,VM PROPERTY DAMAGE Per accident $ XXXXXXX NON -OWNED HIRED AUTOS AUTOS $ XXxxCXX B X UMBRELLA LIAB X OCCUR N N TUU018926705 6/21/21115 4/1/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 11000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ XXXXXXX A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A Y A7CW09491500 6/22/2015 4/1/2016X PE R OTH- STATUTE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 D C POLLUTION LIAB INSTALLATION FLTR N N CPO 1339969 CPP 4886518-05 6/22/2015 6/22/2015 4/1/2016 4/1/2016 POLL - OCC/AGG 2,000,000 1NST1 - LIMIT 2,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF FORT COLLINS IS AN ADDITIONAL INSURED WITH RESPECT TO THE GENERAL AND AUTO LIABILITY COVERAGE, WHICH IS PRIMARY COVERAGE TO THE ADDITIONAL INSURED AND OTHER AVAILABLE INSURANCE WILL BE NON-CONTRIBUTORY AS REQUIRED BY CONTRACT. SUBROGATION RIGHTS ARE WAIVED IN FAVOR OF THE CERTIFICATE HOLDER AS REQUIRED BY CONTRACT AND WHERE ALLOWED BY LAW. 1,tK I It-11,A I t_ l`1ULUtK 1,AIVI,CLLA 1 IUIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13545069 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS 215 N MASON ST PO BOX 580 FORT COLLINS CO 80522 AroRn ?s r7n1d/n1I n1 88-2014 ACORD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD