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Home My WebLink About532500 TOOLE DESIGN GROUP LLC - INSURANCE CERTIFICATE (4)ACORDO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/28/2017 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, LLC. a/.Nr o Ext : (410)832-7600 FAX gic, No): (410)832-1849 P.O. Box 219 E-MAIL certs@kleinagencylic.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Timonium MD 21094 INSURER A : National Surety Corp. 21881 INSURED INSURER B : American Automobile Ins. Co. 21849 Toole Design Group, LLC INSURER C : Hartford Underwriters Ins Co 30104 8484 Georgia Avenue, Suite 800 INSURER D : Continental Casualty Company 20443 INSURER E : Silver Spring MD 20910-5609 INSURER F : 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY/YYYY MM DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE � OCCUR PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10,000 Contractual Liability PERSONAL & ADV INJURY $ 2,000,000 A ABC80920315 01/01/2018 01/01/2019 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT ❑ LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OPAGG $ 4,000,000 Employee Benefits $ 1,000,000 OTHER I I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS MXA80329245 01/01/2018 01/01/2019 BODILY INJURY (Per accident) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTY DAMAGE Per accident $ FleetCover End't s Various X UMBRELLA LIAB M OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 P. EXCESS LIAB CLAIMS -MADE ABC80920315 Follows Forn 01/01/2018 01i01/2019 DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- C AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA 30WECCN9232 01/01/2018 01/01/2019 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIP ION OF OPERATIONS beiow 1 E.L. DISEASE - F'OLIC'� LIMIT $ 1.000,000 D Professional Liability MCH591868957 01/01/2018 01/01/2019 Each Claim Aggregate $2,000,000 $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 7559 Bike Plan Update and TDG Project # B001 30 days notice of cancellation is provided, 10 days for non-payment. See attached for specific additional insured wording. L'a.u. 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. P.O. Box 580 AUTHORIZED REPRESENTATIVE �� Fort Collins CO 80522 �� 4 �"' - @ 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 is an Additional Insured under the General Liability Policy, but only with respects to liability arising from work performed by or on behalf of Toole Design Group, LLC. If required under an insured written contract, executed prior to any loss, City of Fort Collins is an Additional Insured under the Automobile Policy, but only with respects to liability arising from the operation of vehicles by employees of Toole Design Group, LLC. 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 OFREMARK COPYRIGHT 2000, AMS SERVICES INC. I