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Home My WebLink About432111 ALLIED INSULATION - INSURANCE CERTIFICATE (3)A� w CERTIFICATE OF LIABILITY INSURANCE DAT 0/ 6//220118 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 Services Central, Inc. Southfield MI office CONTACT NAME: PHONE (866) 283-7122 FAX (800) 363-0105 (A/C. No. Ext): (A/C. No.): E-MAIL ADDRESS: 3000 Town Center Suite 3000 INSURER(S) AFFORDING COVERAGE NAIC # Southfield MI 48075 USA INSURED INSURER A: Lloyds Syndicate No. 1969 AA1120106 Builder Services Group, Inc. INSURER B: ACE American Insurance Company 22667 d/b/a Allied Insulation A TopBuild Company INSURERC: Old Republic Insurance Company 24147 INSURER D: 6617 S. College Ave. Fort Collins Co 80525 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570071589967 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 INSR LTR TYPE OF INSURANCE DtSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD(YYYY Po MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY MWZY 1 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X❑ OCCUR DAMAGE T RENTED PREMISES Ea occurrence $2,000,000 MED EXP (Any one person) $2 5 , 000 PERSONAL &ADV INJURY $2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $4,000,000 OTHER. C AUTOMOBILE LIABILITY MwTB 313070 06/30/2018 06/30/2019 COMBINED SINGLE LIMIT Ea accident $5 , 000 , 000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE HIREDAUTOS NON -OWNED Per accident ONLY AUTOS ONLY A CSUSA1801330 06/30/2018 06/30/2019 EACH OCCURRENCE $2,000,000 X UMBRELLA LIAB X OCCUR AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION B WORKERS COMPENSATION AND WLRC4858147A 06/30/2018 06/30/2019 X STA UTE EORRH EMPLOYERS' LIABILITY YIN All other States E.L. EACH ACCIDENT $1,000,000 B ANY PROPRIETOR I PARTNER / EXECUTIVE N/A SCFC48581481 06/30/2018 06/30/2019 E.L. DISEASE -EA EMPLOYEE $1,000,000 OFFICE'/MEMBEREXCLUDED? (Mandatory in NH) WI Only If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 B Excess WC wCUC48581493 06/30/2018 06/30/2019 EL Each Accident $1,000,000 WA Stop Gap only EL Disease - Policy $1,000,000 SIR applies per policy terns & condi ions EL Disease - Ea Emp $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) [Pro]: RE: Project Name: City Of Fort Collins - Home Efficiency Program.] [AI: City of Fort Collins] is included as an Additional insured with respect to the General Liability policy, 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 Attn: Amber Riley_ p Q wood St For Fort Collins CO 80521-1945 USA r• rn m 0 0 n O Z N f6 U r d L) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD