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HomeMy WebLinkAboutWALKER MANUFACTURING CO - INSURANCE CERTIFICATE (10)ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 3/20/2017 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 Flood and Peterson PO Box 578 RECEIVED Greeley CO 80632 A� ioi ° CONTACT Kelly Beauvais, CIC, CISR PHONE (970) 356-0123 FAX (970)330-1867 A/C No): ;-DDR1ESS:kbeauvais@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC p INSURERA:Twin City Fire Insurance Company 29459 INSURED ,� , Walker Manufacturing Co. cay Managers Offi 5925 East Harmony Road Fort Collins CO 80528 SURERB:Sentinel Insurance Company 11000 INsuRER c :Pinnacol Assurance 41190 INSURERD: INSURER E : _ INSURERF: 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 SUBR - POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 3 0 0, 0 0 0 A �� � CLAIMS -MADE OCCUR MED EXP (Any one person) 34ECSOF1729 9/30/2016 9/30/2017 $ PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X ❑PRO - POLICY JECT LOC PRODUCTS - COMP/OPAGG $ 2,000,000 BLWOS $ OTHER: AUTOMOBILE LIABILITY Oa accident) SINGLE LIMIT E $ 1,000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 34UUNNJ0856 9/30/2016 9/30/2017 BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ 1,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DE D RETENTION $ WORKERS COMPENSATION _ X AND EMPLOYERS' LIABILITY Y f N STATUTE ERH E.L. EACH ACCIDENT $ 500, 000 ANY PROP RIETOR/PARTNER/ED?XECUTIVE OFFICER/MEMBER EXCLUDE ❑ N/A E.L. DISEASE - EA EMPLOYEE $ 500,000 C (Mandatory in NH) If yes, describe under 2270632 4/1/ 2017 4/1/2018 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is Additional Insured as their interests may appear regarding land leased at: City Manager; City of Ft. Collins 300 LaPorte Ave Fort Collins, CO 80521 I.HIVI.CLLA I 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 Beauvais, CIC, CISR ,V"-V " U 1985-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)