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Home My WebLink About111402 POWER EQUIPMENT COMPANY - INSURANCE CERTIFICATE (2)AcoR©� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) z/24/2017 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 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 CO TAC NAME:Clien Manager USI Colorado, LLC PHOAIC.NN 0-87 - (A/C No: -5295 P.O. Box 705O E-MAILRESS:D Englewood CO 80155 AD n.certifi i INSURERS AFFORDING COVERAGE NAIC # INSURER A:Zurich American Insurance m INSURED MLHOL INSURERB:St Paul Fire and Marine Insura_n_c_eC_ 24767 INSURERC: M-L Holdings Company, Inc. Power Equipment Company 500 E. 62nd Ave. INSURERD: Denver CO 80216 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:497348736 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 INSR SUB WVD POLICY NUMBER POLICY EFF MMlDDlYYYY POLICY EXP MMIDD LIMITS A GENERAL LIABILITY Y Y GL0980922403 3/1/2017 3/1/2018 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE K OCCUR DAMAGE fEaocNT PREMISESS D currence $300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY _ $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 X7 POLICY PR' X LOC $ A AUTOMOBILE LIABILITY Y Y BAP980922503 1 3/1/2017 3/1/2018 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS DAMAGE Peraccident) PROPERTY $ B X UMBRELLA LAB X OCCUR Y Y ZUP14RI342317NF 3/1/2017 3/1/2018 EACH OCCURRENCE $15,000,000 AGGREGATE $15,000,000 EXCESS LIAB CLAIMS -MADE DED 7X 1 RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y WC980922303 3/1/2017 3/1/2018 X WC STATU- O RY I ER E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE 7 OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEO $1,000,000 (Mandatory in NH) If yes, describe under -- - DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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. See Attached... The City of Fort Collins P.O. Box 580 Attn: Doug Clapp Fort Collins CO 80522 r..AIVt..tLLAI IVIV 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: MLHOL LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED USI Colorado, LLC M-L Holdings Company, Inc. Power Equipment Company 500 E. 62nd Ave. POLICY NUMBER Denver CO 80216 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE 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 insurance, such a person or organization is an "insured" but only with respect to liability caused by your acts or omissions in the performance of your ongoing operations. Certificate holder and Additional Insured Include: The City, its officers, agents and employees ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD