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HomeMy WebLinkAbout108951 HALL IRWIN CORPORATION - INSURANCE CERTIFICATE (6)ACORD® CERTIFICATE OF LIABILITY INSURANCE 712/29/2017 E(MM/DD/YYYY) ��. 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: Katie Smothers Commercial Risk Solutions PHONE FAX 6600 E Hampden Ave Ste 200 (A/C No. Ext): 303-996-7801 Arc No : 303-757-7719 Denver CO 80224 ADDRIESS: ksmothers(dcrsdenver.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: United Specialty Insurance Co INSURED HAUR-1 INSURER B : Westfield Insurance 24112 Hall -Irwin Corporation INSURERC: Pinnacol Assurance 41190 301 Centennial Drive Milliken CO 80543 INSURERD: INSURER E: INSURER F COVERAGES CERTIFICATE Nt]MBER: 197768858 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 R TYPE OF INSURANCE DDWE- POLICY NUMBER POLICY EFF MM/DD/YY POLICY EXP MM/DDIYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y ATNSF1731376 12/3112017 12131/2018 EACH OCCURRENCE_ $1,000,000 CLAIMS -MADE - - OCCUR PREMISES IF occurrence) $ 50,000 MED EXP (Any one person) $ EXCLUDED X PERSONAL & ADV INJURY $1,000,000 WY EL Stop Gep GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC $ 2,000.000 PRODUCTS - COMP/OP AGG Sto Ga Liabili OTHER: $1,0x0,000 B AUTOMOBILE _ LIABILITY Y TRA7976721 12/31/2017 12/31/2018 COMBI ED SINGLE LIMIT Ea accident $ 1.000 000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR BTN1734342 1213112017 12/31/2018 EACH OCCURRENCE $5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION $ Nene $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE N 4021105 1/1/2018 1/1/2019 X STATUTE OER E.L. EACH ACCIDENT $500,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500.000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 8 Leased and Rented Equipment TRA7976721 12/31/2017 12/31/2018 Limit 500,000 Special Form/ACV/100% Coinsurance I, Deductible 2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 8519 Maple Hill Neighborhood The City of Fort Collins is included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. All policy terms, conditions and exclusions apply. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Purchasing 215 N Mason St, 2nd Floor PO Box 580 Fort Collins CO 80522 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 Q_ qU4-.-L © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD