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Home My WebLink AboutGALLS LLC - INSURANCE CERTIFICATEAcoRio• CERTIFICATE OF LIABILITY INSURANCE 1..�/ 9/30/2018 DATE(MM/DD/YYYY) 9/22/2017 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 Lockton Companies CCi NAME: A/c, NaExt : A/C, No : 76 Batterson Park Road Farmington CT 06032 860-678-4000 E-MAIL ADDRESS: INSURER($)AFFORDING COVERAGE NAIC # INSURER A : Liberty Insurance Corporation 42404 INSURED Galls, LLC INSURER B : Liberty Mutual Fire Insurance Company 23035 1345090 1340 Russell Cave Road Lexington KY 40505 INSURER C : XL Specialty Insurance Company 37885 INSURER D ; The Ohio Casualty Insurance Company 24074 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 14504690 REVISION NUMBER: XXXXXXX 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 NS TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 OCCUR Y N TI37-Z11-261104-037 9/30/2017 9/30/2018 EACH OCCURRENCE 1,000.000 DAMAGE TO RENTED PREMISES Ea occurrence 300,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1 ,000.000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY JET LOC OTHER. GENERAL AGGREGATE $ 2.000.000 PRODUCTS - COMP/OP AGG $ 21000,000 s C3 AUTOMOBILE LIABILITY ANY AUTO OWNS ONLY SCHEDULED AUTOS HIRED NON -OWNED ONLY AUTOS ONLY Comp: $1.00 X Coll: $1,000 Y NAS2-Z I 1-261104-027 9/30/2017 9/30/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident S XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX X $ XXXXXXX C X UMBRELLA LIAR EXCESS LIAB NCLAIMS-MADE OCCUR N N US00080358LI17A 9/30/2017 9/30/2018 EACH OCCURRENCE $ 10,000 000 AGGREGATE $ 10.000,000 X DED RETENTION $ 10,000 $ XXXXXXX H WORKERS COMPENSATION AND EMPLO YE LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Ir yes, describe under DESCRIPTION OF OPERATIONS below N / A N WC2-Z 1 1-261104-017 9/30/2017 9/30/2018 X STATUTE OER E.L. EACH ACCIDENT $ 1000 000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 D Excess Umbrella N N ECU (18) 58276018 9/30/2017 9/30/2018 Lvnit: $15,000,000; XS $10.000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Fort Collins, its officers, agents and employees are included as Additional Insured with respect to the General Liability and Automobile Liability policies as required by written contract. CERTIFICATE HOLDER CANGELLAIIVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14504690 AUTHORIZED REPRESENTATIVE The City of Fort Collins Purchasing Department P.O. Box 580 Fort Collins CO 80522 ACORD 25 (2016/03) @1988-201,6ACOAD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD