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HomeMy WebLinkAboutARENA PRODUCTS AND SERVICES LLC - INSURANCE CERTIFICATEACOR 7 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD YYYY) 4/8/2016 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 CONTACT NAME: Olson & Olson Ltd 5655 S. Yosemite St. #101 Greenwood Village CO 80111 PHOLAIC,N u - -2061 FAX A/C No):303-867-2074 E-MAIL ADDREss:rh nda. h I n n I- n. INSURERS AFFORDING COVERAGE NAIC 0 INSURER A -.Westfield Insurance1 INSURED ARENA-1 INSURER B:Pinnacol Assurance 411 INSURERC: Arena Products and Services, LLC 2660 N Chelton Road Colorado Springs CO 80909 INSURERD: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER:478703872 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. ILTR TYPE OF INSURANCE ANSR SWVD POLICY NUMBER DDYi'YYYYFF MMl EXP MM/DDY LIMITS A GENERAL LIABILITY CWP5160145 3/15/2016 3/15/2017 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR RM S T RENTE PREMISES Ea occurrence $500,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 1-1 POLICY PRO F7 LOC I $ A AUTOMOBILE LIABILITY CWP5160145 3/15/2016 3/15/2017 Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ %� HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ A UMBRELLA LIAB X OCCUR CWP5160145 3/15/2016 3/15/2017 EACH OCCURRENCE $2,000,000 AGGREGATE $ EXCESS LAB CLAIMS -MADE DED X I RETENTION$/A $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 4147199 4/1/2016 4/1/2017 STATU- OTH- T R MIT EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE $500,000 9NIAE.L. (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $500,000 A Install Floater CWP5160145 3/15/2016 3/15/2017 Limit 25,000 Deduct 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder and those listed below(if any) are Additional Insureds as respects General Liability and Umbrella Liability on a Primary and Non -Contributory basis, and Auto Liability only if required by written contract or agreement and coverage applies only as respects work performed by the Insured for the Additional Insureds. All coverage terms, conditions, and exclusions of the policy apply. The Worker's Compensation, General Liability, Auto Liability, and Umbrella Liability policies include a Waiver of Subrogation in favor of the Additional Insureds only if required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION City of Fort Collins 300 LaPorte Avenue 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. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD