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304997 BELFOR ENVIRONMENTAL - INSURANCE CERTIFICATE (4)
,4coR" CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) k — 07/05/2018 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. PRODUCER CONTACT Aon Risk services Central, Inc. NAME: NE FAX Southfield MI Office (A/C. No. E,t): (866) 283-7122 (A/C. No.): (800) 363-0105 3000 Town Center E-MAIL Suite 3000 ADDRESS: Southfield MI 48075 USA PRODUCER 570000005415 CUSTOMER ID #� INSURER(S) AFFORDING COVERAGE NAIC # INSURED Belfor Environmental, Inc. 5075 Kalamath Street Denver CO 80221 USA INSURER A: Travelers Property Cas CO Of America 25674 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: C(1\/GRAr:FC r CRTICir`ATC KIIn1ARCQ• 5700721g3RRG DCVICIr1AI KI"R11DCC. LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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. IN SR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COVERED PROPERTY LIMITS A X PROPERTY CAUSES OF LOSS DEDUCTIBLES QT6309B112447TIL18 07/01/2018 07/01/2019 BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRAEXPENSE RENTALVALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP BASIC BUILDING BROAD X SPECIAL CONTENTS EARTHQUAKE WIND FLOOD X $33,532,535 Blkt B&PP Ded INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY CAUSES POLICY NUMBER CRIME TYPE OF POLICY BOILER & MACHINERY / EQUIPMENT BREAKDOWN SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Purchasing Director PO Box 580 Fort Collins Co 80522 USA 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 ©1995-2015 ACORD CORPORATION. All rights reserved. ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD C; M oO 00 rn N O O n in