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HomeMy WebLinkAboutWALKER MANUFACTURING CO - INSURANCE CERTIFICATE (9),a�oRn® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDiYYYY) 03/26/2018 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 CONTACT Kelly Beauvais, CIC. CISR NAME: Flood and Peterson PHO{970} 266-7121 FAX (970) 330-1867 A/C N.E. Ext : C.No): E-MAIL ADDRESS:kbeauvais@floodpeterson.com PO Box 578 INSURERS) AFFORDING COVERAGE NAIC # INSURERA: Twin City Fire Insurance Company 29459 Greeley CO 80632 INSURED INSURER B : Sentinel Insurance Company 11000 INSURER C : Pinnacol Assurance 41190 Walker Manufacturing Co. INSURER D : 5925 East Harmony Road INSURER E : INSURER F : Fort Collins CO 80528 COVERAGES CERTIFICATE NUMBER: Master - full cert 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. INTR R TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY EFF MMIDDN YY Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREM1IISES Ea occurrence S 300 000 NIEDEXP(Any one personl S Excluded $100,000SIR PERSONAL BADVINJURY S 1,000,000 A 34ECSOF1729 09130/2017 09/30/2018 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 X POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMPIOP AGG S 2,000,000 BLWOS S OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i Ea accident) $ 1,000,000 BODILY INJURY (Per person) S ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS 34UUNNJ0856 09/30/2017 09i30/2018 BODILY INJURY (Per accident) S PROPERTYDAMAGE 'Per accident S X HIRED HNON-OWNED AUTOS ONLY AUTOS ONLY Uninsured motorist S 1,000,000 UMBRELLA LIAB OCCUR iZfz�,.(1_R'"E`N" i' EACH OCCURRENCE S HCLAIMS-MADE AGGREGATE S EXCESS LIAB DED I I RETENTION $ 5 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR;PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory In NH) N/A 2270632 04/01/2018 04/01/2019 X STATUTE ERPER H E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE S 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 500,000 ET DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space Is required) Certificate Holder is Additional Insured as their interests may appear regarding land leased at: CFRTIFICATF HOI nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Manager; City of Ft. Collins ACCORDANCE WITH THE POLICY PROVISIONS. 300 LaPorte Ave AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 f� 4 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD