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HomeMy WebLinkAboutCORRPRO COMPANIES INC - INSURANCE CERTIFICATE (5)ACO & CERTIFICATE OF LIABILITY INSURANCE 16-_� 7/1/2019 DATE(MM/DDYYYY) 6/20/2018 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 INSURERS), 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 Lockton Companies Three City Place Drive, Suite 900 St. Louis M063141-7081 (314) 432-0500 CONT CT NAME: PHONE Ext : A/C, No AIC EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: XL Insurance America. Inc. 24554 INSURED Con -pro Companies, Inc. 1316495 1055 W, Smith Road Medina OH 44256 INSURER B : ACE American Insurance Company 22667 INSURER C: Indemnity Insurance Co of North America 43575 INSURER D : Starr Indemnity & Liabilii< Company 38318 INSURER E I E� INSURER F COVERAGES CORC002 CERTIFICATE NUMBER: 11966279 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVF 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 MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N CGD300084903 7/1/2018 7/1/2019 EACH OCCURRENCE $ 2.000,000 A CLAIMS -MADE OCCUR X XCU / BROAD FORM PD DAMAGE TO RENTED PREMISES Ea occurrence) $ 1,000,000 MED EXP (Any oneperson) s 10,000 PERSONAL & ADV INJURY $ 2 000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICYa JE LOC GENERAL AGGREGATE $ 41000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER B AUTOMOBILE LIABILITY Y N ISA }I25158945 7/1/2018 7/1/2019 COMBINED SINGLE LIMIT (Ea accident)$ 5.000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO AUTOS ONLY AUTOSULED BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $XXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $XXXXXXX D UMBRELLA LIAB X OCCUR Y N 1000095154181 7/1/2018 7/1/2019 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5.000.000 EXCESS LIAB CLAIMS -MADE DED I J RETENTION $ $ XXXXXXX B C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y WLRC65224987 (CA/MA) WLRC6522494A (AOS) (EXCLUDING MONOPOLISTIC) 7/1/2018 7/1/2018 7/1/2019 7/1/2019 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1 ,000,OOO E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF FORT COLLINS - POUDRE CANYON 24#, PIPELINE REHABILITATION IS ADDITIONAL INSURED UNDER GENERAL LIABILITY ON A PRIMARY AND NON-CONTRIBUTORY BASIS WHERE APPLICABLE BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED'S OPERATIONS, AND ARE ADDITIONAL INSUREDS UNDER AUTOMOBILE LIABILITY AND UMBRELLA LIABILITY WHEN REQUIRED BY WRITTEN CONTRACT, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF THE NAMED INSURED's OPERATIONS. WAIVER OF SUBROGATION APPLIES UNDER WORKERS' COMPENSATION WHERE PERMISSIBLE BY LAW AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS. 103 Al it I iaPYG\I 7i 11966279 CITY OF FORT COLLINS - POUDRE CANYON 24# PIPELINE REHABILITATION 700 WOOD STREET FORT COLLINS CO 80524 ACORD 25 (2016/031 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 5r5�__-V Cc)1988-'(50RD-COIZIY-ORATZN. All riahts reserved The ACORD name and logo are registered marks of ACORD