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Home My WebLink About563449 CENTERLINE SOLUTIONS LLC - INSURANCE CERTIFICATE (4)ACORD. CERTIFICATE OF LIABILITY INSURANCE zn a/2o I6 DATE/YYYY) 10/6/20/6/2015 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 8110 E. Union Avenue Suite 700 Denver CO 80237ADDRESS: CONTACT NAME: PHONE A/C No Ext : A/C No): E-MAIL COVERAGE NAIL (303) 414-6000 wsURERA: Zurich American Insurance Company 16535 INSURED Centerline Solutions, LLC 1408175 16360 Table Mountain Parkway Golden, CO 80403 INSURER B: Endurance American Insurance Company 10641 INSURER C : Lloyds of London INSURER I): Admiral Insurance Company 24856 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 13704033 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/DDIYYYY POLICY EXP IMM/DDIYYYYi LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR N N GLA023211900 2/1/2016 2/1/2017 EACH OCCURRENCE 1,000,000 PREMISES Ea occccurrence 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JERT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED NON -OWNED HIRED AUTOS AUTOS N N GLA023211900 2/1/2016 2/1/2017 - CEOMaBII EDtSINGLE LIMIT $ 1 00O OOO X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX B X UMBRELLALUIB EXCESS UAB X OCCUR CLAIMS -MADE N N EXC30000049900 2/1/2016 2/1/2017 EACH OCCURRENCE $ 10000000 1AGGREGATE $ 10 000 000 DED RETENTION $ $ XXXXXXX A WORKERS COMPENSATION AND EMPLOYERS'LIABILIITY YIN ANY OFFICER)ME BERIPEXCLUDED7 ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below r� I A N WCO23211700 2/1/2016 2/1/2017 X STATUTE FR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT is 1,000,000 A C D Install Floater Leased/Rented Equip Prof Poll N N CPP023212500 HPP2069/015 FEIECC2149000 2/1/2016 2/14/2015 4/29/2015 2/1/2017 2/14/2016 4/29/2016 Sim $200k per item $2M per claim $5M each occ; $I OM agg DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GhK 1 II-IGA I t HVLUtK GANGELLATIUN See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 13704033 AUTHORIZED REPRESENTATIVE City of Ft. Collins PO Box 580 Fort Collins CO 80526 r/C Y�4t�lv/ ACORD 25120141011 n 1 R812014 ACORD CORPO ATION. All rights reserved The ACORD name and logo are registered marks of ACORD Named Insured Schedule • Atecs, LLC • Cascadia PM, LLC • Centerline Solutions, LLC • IDC Joint Venture, LLC • MC Squared Holdings, LLC Miscellaneous Attachment: M516679 Master ID: 1408175, Certificate ID: 13704033