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Home My WebLink About442066 MARTIN / MARTIN INC - INSURANCE CERTIFICATE (10)A� o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/01/2016 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: (A/C. No. Ext): (303) 758-7688 F C.No.): (303) 758-9458 E-MAIL ADDRESS: 1900 16th street, Suite 1000 Denver CO 80202 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: The Travelers Indemnity Co. 25658 Martin/Martin. Inc. INSURERB: Travelers Property Cas CO of America 25674 12499 W. Colfax Ave Lakewood CO 80215-3720 USA INSURERC: The Travelers Indemnity Co of America 25666 INSURERD: Starr Surplus Lines Insurance Company 13604 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570071456372 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 NSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY -17 �61011201 06/01/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑OCCUR DAMAGE T E PREMISES Ea occurrence $lOO,000 MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY BA-78461_848 06/01/2018 06/01/2019 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident A X UMBRELLA LIAB OCCUR CUP-2H008633 06/01/2018 06/01/2019 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB H CLAIMS -MADE DED I X I RETENTION S 10, 000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR / PARTNER / EXECUTIVE YIN UB-5K759528 06/01/2018 06/01/2019 X SPER TATUTE EORH E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D E.L. DISEASE -POLICY LIMIT $1,000,000 D E&O-PL-Primary sL5LPR026207318 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) Re: REP 7494 Parking Structures Conditions Assessments. The City of Fort Collins, its officers and employees is/are Additional insured(s) with respect to General Liability as required by written contract. 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 215 N. Mason 2nd Floor Fort Collins CO 80524 USA n n9r�ia�zcc �u� na d C d d O 2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD