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HomeMy WebLinkAbout442066 MARTIN / MARTIN INC - INSURANCE CERTIFICATE (8)AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/01/2018 I 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Insurance Services West, Inc. Denver Co office CONTACT NAME: PHONE (303) 758-7688 FAX (303) 758-9458 (A/C. No. Ext): (A/C. No.): E-MAIL ADDRESS: 1900 16th street, suite 1000 Denver Co 80202 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: The Travelers indemnity Co. 25658 Martin/Martin. Inc. 12499 W. Colfax Ave LakewoodLakewCo 80215-3720 USA INSURERB: Travelers Property Cas Co Of America 25674 INSURER C: The Travelers indemnity Co of America 25666 INSURER D: Starr Surplus Lines Insurance Company 13604 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570071456859 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. Limits shown are as requested TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY - 1 EACH OCCURRENCE $1 , 000 , 000 CLAIMS -MADE X❑ OCCUR DAMAGE TO RENTED PREMISES Ea ccurrence $ lOO , 000 MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $1,000,000 GENLAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY IE JECT PRO ElLOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY BA-78461_848 06/01/2018 06/01/2019 COMBINED SINGLE LIMIT Ea accident $1, OOO, OOO BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE HIREDAUTOS NON -OWNED Per accident ONLY AUTOS ONLY A' X UMBRELLA LIAB OCCUR CUP-2H008633 06/01/2018 06/01/2019 EACH OCCURRENCE $5,000,000 EXCESS LIAB H CLAIMS -MADE AGGREGATE $5,000,000 DED I X RETENTION $10,000 A WORKERS COMPENSATION AND UB-5K759528 06/01/2018 06/01/2019 X PER oTH- STATUTE ER EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $1 , OOO , OOO ANY PROPRIETOR /PARTNER /EXECUTIVE N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE $1 , 000 , 000 If yes. describe under DESCRIPTION OF OPERATIONS below I I I E.L. DISEASE -POLICY LIMIT $1, 000 , 000 D E&O-PL-Primary SLSLPR026207318 06/01/2018 06/01/2019 Per Claim $5,000,000 Deductible $100,000 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Auto Liability policies. 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 of Fort Collins AUTHORIZED REPRESENTATIVE Po BOX 580 Fort Collins CO 80522 USA `m c m N 2 0 x rn m r o 0 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD