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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
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20242632.tiff
Mariah Higgins From: Sent: To: Cc: Subject: Attachments: Follow Up Flag: Flag Status: CTB team, Doug Erler Thursday, September 26, 2024 2:07 PM CTB Kendra Bornhoft; Dianna Campbell Updated Certificate of Liability Insurance cert_ATL_Weld County Alternative_5354377_6.pdf Follow up Flagged Just some housekeeping for a document recently received — in Tyler, please add the attached with the most recent Renewal Agreement completed late last year with the Compass Group/ Canteen —they provide vending machine services at our Work Release facility. Thank you. • Doug Erler, Director Weld County Justice Services Department gm loth Avenue P.O. Box 758 Greeley, CO 80632 Office: 970-400-4847 Mobile: 970-673-2829 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. CoµMvf;Co.-1-;oiS to/1/24 2024-2632 5 50001 ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDirnon s/2s12o2a 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 MARSH USA, LLC. TWO ALLIANCE CENTER 3560 LENOX ROAD, SUITE 2400 ATLANTA, GA 30326 CN102832071-Compa-UMB10-24- CANTE CANTV CONTACT Randi K. Nowell, CPCU, ARM NA ME: (acoNr o.., 404-995-3102 Ira No): ADOREE-MAIL ss: Compasscerts@Marsh.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : National Union Fire Ins Co. of Pittsburgh PA 19445 INSURED Canteen Vending a division of Compass Group USA, Inc. 2400 Yorkmont Road Charlotte, NC 28217 INSURER B : AIU Insurance Co 19399 INSURER c : ACE Property And Casualty Ins Co 20699 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: ATL-005354377-06 REVISION NUMBER: 5 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. LTR TN TYPE OF INSURANCE ADDL SUER INSD WVD POLICY NUMBER POLICY EFF (MM/DD/Y %) POLICY EXP (MM/DD/YA1 LIMITS A X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE X❑ OCCUR A SIR: $1,000,000 GL 6547187 09/30/2024 09/30/2025 EACH OCCURRENCE $ 1,000,000 PRAM SES Ea occu ence1 $ 1,000,000 MED EXP (Any one person) $ PERSONAL &ADV INJURY $ 1,000,000 X Contractual Liability GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PROT ❑ LOC JEC OTHER: PRODUCTS - COMP/OP AGG $ 5,000,000 $ A A A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS X NON -OWNED AUTOS ONLY AL 7030998 (AOS) AL 7030999 (MA) AL 7031003 (Garage Liability) Self Insured for Physical Damage 09/30/2024 09/30/2024 09/30/2024 09/30/2025 09/30/2025 09/30/2025 (Ea COaccMBINident)AD SINGLE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ C X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE XOO G27738631 09/30/2024 09/30/2025 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ DED l X I RETENTION $ () B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBAREXCLUDED? E (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC 14111814 (AOS) WC 1411816 (CA) See Acord 101 09/30/2024 09/30/2024 09/30/2025 09/30/2025 X I STATUTE I I ERH E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 A Liquor Liability GL6547185 SIR: $1,000,000 09/30/2024 09/30/2025 Each Common Cause Aggregate 1,000,000 10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Weld County Board of Commissioners, its officers, and employees is/are included as Additional Insured with respect to the General Liability, Auto Liability, Liquor Liability and Umbrella liability policies referenced herein per written contractor agreement subject to policy terms, conditions, and exclusions and where permitted by law. CANCELLATION Weld County Alternative SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sentencing Programs Facility THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1150 O Street ACCORDANCE WITH THE POLICY PROVISIONS. Greeley, CO 80631 AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102832071 LOC tt: Atlanta ACORD® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH USA, LLC. NAMED INSURED Canteen Vending a division of Compass Group USA, Inc. POLICY NUMBER 2400 Yorkmont Road Charlotte, NC 28217 CARRIER NAIL CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation Continued: Workers Compensation Policy #WC49154356(AOS POLICY) Covers ALL States except CA, WI and OH Cartier: New Hampshire Insurance Company Policy Number: WC 14111817 Effective Date: 09/30/2024 Expiration Date: 09/30/2025 Policy Covers States of: WI Stop Gap Coverage: ND, OH, WA, WY. Limit E.L. Each Accident: $2,000,000 E.L. Disease -Policy: $2,000,000 E.L. Disease Each Employee: $2,000,000 Workers Compensation Continued: Carrier: National Union Fire Ins. Co. of PA Policy Number. XW 6583229 Effective Date: 09130/2024 Expiration Date: 09/30/2025 Policy Covers States of: OH (Excess WC) Limit E.L. Each Accdent: $2,000,000 E.L. Disease -Policy: $2,000,000 E.L. Disease Each Employee: $2,000,000 ADDITIONAL INFORMATION Umbrella is follow form of primary Commercial General Liability, Automobile Liability, Liquor Liability and Employers Liability policies subject to policy terms, conditions and exclusions ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
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