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Home My WebLink About429371 HILLEN CORPORATION - INSURANCE CERTIFICATE (4)DATE (MM/DD/YYYY) A� �® CERTIFICATE OF LIABILITY INSURANCE REVISED 03/23/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR 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 endorsedlf 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 endorsements . PRODUCER .CONTACT INSURED MACHANN INSURANCE AGENCY 11160 NO. HURON, STE. 36 NORTHGLENN, CO 80234 HILLEN CORPORATION 7600 DAHLIA COMMERCE CITY, CO 80022 INSURER(S) AFFORDING COVERAGE INSURER A: TRAVELERS INDEMNITY CO. B: TRAVELERS PROPERTY CAS. CO. OF AMERI. INSURER C: ONE BEACON INS. CO. INSURER D: MAXUM INDEMNITY COMPANY NAIC # wSt1RFR F HOMELAND INSURANCE COMPANY I I COVERAGES CERTIFICATE NUMBER: 100130 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP M_M_/D IMP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR REMISES (ERENTED ccrrnce) $ 300,000 X MED EXP (Any one person) $ 10000 A XCU DT-CO-4466R681 4-1-18 4-1-19 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X� jE O LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED (Ea accident) SINGLE LIMIT$ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO B AUTOS ONLY AED UTOS BODILY INJURY (Per accident) $ AUTOS ONLY NON-OWNED ONLYY DT-810325D2910 4-1-18 4-1-19 ER DAMAGE (Per accdent) $ X $ POLLUTION UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 D EXCESS LIAB CLAIMS -MADE EXC 6015106-07 4-1-18 4-1-19 F_FDED I RETENTION $ $ _ _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N - TAT IT - ANY PROPRIETOR/PARTNER/EXECUTIVEO NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF 0PFRATIONS below E.L. DISEASE- POLICY LIMIT $ 5600,000 LIMIT -PER ITEM $600,000 ALL ITEMS C LEASED & RENTED EQUIP. 790-00-55-80 4-1-18 4-1-19 DEDUCTIBL-2,500 E POLLUTION LIABILITY 793-00-11-81 4-1-18 4-1-19 LIMIT$1,000,000 OCCURRENCE $2,000,000 AGGREGATE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AS REQUIRED BY CONTRACT, THE CITY OF FORT COLLINS, ITS OFFICERS, AGENTS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED'S UNDER THE GENERAL LIABILITY AND AUTOMOBILE LIABILITY. CERTIFICATE HOLDER CANCELLATION THE CITY OF FORT COLLINS PURCHASING DEPARTMENT P.O. 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 rese ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD