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Home My WebLink AboutWALKER MANUFACTURING CO - INSURANCE CERTIFICATE (7)A� �'® CERTIFICATE OF LIABILITY INSURANCE 9/18/2015 Y) 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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT NAME: Kelly Beauvais, CIC, CISR PHONENo_ (970)266-7121 FAX N (970)506-6845 MAIL kbeauvaisQfloodpeterson.com EA bDRESS INSURERS AFFORDING COVERAGE NAIC # INSURERA:The Hartford Insurance. INSURED Walker Manufacturing Co. 5925 East Harmony Road Fort Collins CO 80528 INSURERB:Plnnacol Assurance 41190 INSURER C: INSURER D: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:CL1591805699 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO ReNTE PREMISES Ea ccur ence $ 300,000 A CLAIMS -MADE 7X1 OCCUR 34ECSOF1729 9/30/2015 9/30/2016 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 11000,000 X $100, 000 SIR GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY F7 PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 34UUNNJO856 9/30/2015 9/30/2016 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ X NON -OWNED HIRED AUTOS AUTOS Uninsured motorist combined $ 1 000 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE 8 WC STATUSOTH- 1 ER E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED' ❑ (Mandatory in NH) N / A 270632 /1/2015 /1/2016 E.L. DISEASE- EA EMPLOYE9 $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is Additional Insured as their interests may appear regarding land leased at: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Manager; City of Ft. Collins 300 LaPorte Ave AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521 R Beauvais, CIC, CISR ACORD 25 (2010/05) INS025 (201005).01 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD