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Home My WebLink About110001 HIGH PLAINS MECHANICAL SERV INC - INSURANCE CERTIFICATEACORN' CERTIFICATE OF LIABILITY INSURANCE 4,112017 DATE(MMIDD/YYYY) 3/15/2016 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONT NAMEHONE FA3F- A/C, No, Ext : A/C, No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Old Republic Insurance Company 24147 INSURED High Plains Mechanical Service, Inc. 1398315 2020 Airway Avenue Fort Collins CO 80524 INSURER B : Great American Insurance Company 16691 INSURER C : Zurich American Insurance Company 16535 INSURER D : AIG 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/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y A7CG09491601 4/1/2016 4/1/2017 EACH OCCURRENCE 1,000,000 CLAIMS -MADE OCCUR GE TO RENTED PREMISES (Ea occurrence 300,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PEC LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY Y Y A7CA09491601 4,'112016 4/1/2017 COEO aBIN DtSINGLE LIMIT $ 2,000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO SCHEDULED AUTOS NED AUTOS BODILY INJURY (Per accident $ XXXXXXX NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX 13 X UMBRELLA LIAB X OCCUR N N TUU018926706 4/1/2016 4/I/2017 EACH OCCURRENCE $ 3,000,000 E] AGGREGATE $ 3,000,000 EXCESS LIAB CLAIMS -MADE DEC RETENTION $ $ XXXXXXX 1 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y A7CW09491601 4/1/2016 4/1/2017 PER TH- X STATUTE I 0IR E.L. EACH ACCIDENT $ 11000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � N / A E.L. DISEASE- EA EMPLOYEE 1,000,000 (Mandatory in NH) DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT 1,000,000 D C POLLUTION LIAB INSTALLATION FLTR N N CPO1339969 CPP 4886518-06 4/1/2016 4/1/2016 4/1/2017 4/l /2017 POLL -OCC/AGG 2,000,000 INSTL - LI.MIT 2,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I 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. _+ n1Ir 1l. IC nVLVGf[ l.H1Vl.CLLH 1 IVIV 13545069 CITY OF FORT COLLINS 215 N MASON ST PO BOX 580 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 ACORD 25 (2014/01) ©1 8-2014 ACORD CORPORATION- All riahts reserved The ACORD name and logo are registered marks of ACORD