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Home My WebLink About111402 POWER EQUIPMENT COMPANY - INSURANCE CERTIFICATEA� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/ 1 /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 USI Colorado, LLC P.O. Box 7050 Englewood CO 80155 CONTACT NAME: Client Manager PHONE FAX N Ex : 800-873-8500 iVC.No): 303-831-5295 ADDARESS: Den. certificate@usi.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 INSURED MLHOL M-L Holdings Company, Inc. Power Equipment Company INSURER B : St Paul Fire and Marine Insurance CO 24767 INSURERC: 500 E. 62nd Ave. INSURERD: INSURERE: Denver CO 80216 INSURER F : COVERAGES CERTIFICATE NUMBER: 1796291127 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. ILTR R LT TYPE OF INSURANCE ADDLISWVD UBR POLICY NUMBER POLICY MM/ D/YYYY MMI DPOLICY /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GLO980922404 3/1/2018 3/1/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 _ PERSONAL & ADV INJURY $1,D00,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 FG�,EEN'L PRO - X POLICY ❑ JECT PRO [X LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ j_� OTHER: A AUTOMOBILE LIABILITY Y Y BAP980922504 3/1Y2018 3/1/2019 MBINED INGLE LIMIT COS Ea accident $ 000 000 BODILY INJURY (Per person) _1 $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS Ix BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY B X UMBRELLA LIAB X OCCUR Y Y ZUP14R3342318NF Y1/2018 3/1/2019 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION $ 10 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y WC980922304 3/12018 3/1/2019 X I PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFF ICER/MEMBEREXCLUDED ? r7 N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT _ _ $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Umbrella/Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. The Workers Compensation policy contains an All States Endorsement. Subject to policy terms, conditions, limitations and exclusions: The Certificate Holder is included as additional insured per written contract or agreement on the General Liability, Automobile Liability and Excess Liability. A waiver of subrogation applies to the Certificate Holder under the General Liability, Automobile Liability, Excess Liability and Workers Compensation per written contract or agreement. With respects to General Liability, Automobile Liability and Umbrella/Excess Liability, if you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured, and that the insurance shall be primary and non-contributory with the additional insured's own See Attached... CERTIFICATE HOLDER CANCELLATION The City of Fort Collins P.O. Box 580 Attn: Doug Clapp 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 N © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD