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Home My WebLink About454406 BIOHABITS INC - INSURANCE CERTIFICATE (3)i 1 ® AC40R" CERTIFICATE OF LIABILITY INSURANCE `✓� DATE (MM/DDIYYYY) 12121 /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 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 CONTACT NAME: Klein Agency, _LC. PHONE (410)832-7600 FAX (410)832-1849 A/C No Ext : A1C No E-MAIL certs@kleinagencyllc.com ADDRESS: P.O. Box 219 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: The Charter Oak Fire Insurance Co. 25615 Timonium MD 21094 INSURED INSURER B : Travelers Indemnity Co. of CT 25682 INSURER C : Travelers Property Casualty Company of America 25674 Biohabitats, Inc. INSURER D : The Phoenix Insurance Company 25623 2081 Clipper Park Road INSURER E : Continental Casualty Company 20443 INSURER 1: Baltimore MD 21211-1406 COVERAGES CERTIFICATE NUMBER: 18-19 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 AUULIbUbK INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE � OCCUR DAMAGE to HEN M7 PREMISES(Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10,000 Contractural Liability PERSONAL BADVINJURY $ 2,000,000 A 660OJ612234 01/01/2018 01/01/2019 PER: GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY � PR PRODUCTS-COMP/OPAGG $ 4,000,000 Employee Benefits s 1,000,000 OTHER, AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS BAOJ630633 01/01/2018 01/01/2019 BODILY INJURY (Per accident) $ I PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 C EXCESS LIAB CLAIMS -MADE CUPOJ633531 01/01/2018 01/01/2019 DED RETENTION $ $ D WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY Y / N ANY PRO PRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A UBOJ634195A1 States Ind VA. 01/01/2017 01/01/2018 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L.DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LMIT 1 Onn Don If yes, describe under DESCRIPTION OF OPERATIONS below Each Claim $5,000,000 E Professional Liability/ Pollution Liability ECH288389268 01/01/2018 01/01/2019 Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project - McMurry Natural Area Restoration Phase 2, and Sterling Pond Restoration See attached for specific additional insured wording GtK 1IfIGAI t MULUtK LAN%, tLLAI IVry SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N. Mason Street AUTHORIZED REPRESENTATIVE �o Fort Collin CO 80522 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS If required under an insured written contract, executed prior to any loss, City of Fort Collins are Additional Insured under the General Liability Policy, but only with respects to liability arising from work performed by or on behalf of Biohabitats, Inc. If required under an insured written contract, executed prior to any loss, City of Fort Collins are Additional Insured under the Automobile Policy, but only with respects to liability arising from the operation of vehicles by employees of Biohabitats, Inc. If required under an insured written contract, executed prior to any loss, Waiver of Subrogation is provided for City of Fort Collins under the General Liability, Automobile Liability and Workers Compensation Policies. It is further understood that coverage provided the Additional Insured under the General Liability and Automobile Liability shall be primary and non-contributory to any other coverage available to the Additional Insured. I OFRE:ZARK COPYRIGHT 2000, AMS SERVICES INC. I