HomeMy WebLinkAboutBIGS BBQ SAUCE DBA BIGS MEAT WAGON - INSURANCE CERTIFICATE 2023-2024DATE (MM/DD/YYYY)
A�� �� CERTIFICATE OF LIABILITY INSURANCE 6i5iZo23
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 NAME: Shane MyeeS
Stanton Insurance, LLC P�o�E 720 388-1906 (720) 302-2515
A/C, No, Ext : � � (A/C, No):
8000 S Lincoln St ADDRESS: ShanO�,ia insuredbystanton.com
SUite 2O5 INSURER(S) AFFORDING COVERAGE NAIC #
LittletOn CO 8O122 INSURER A: OWNERS INS CO 32700
INSURED INSURER B :
Bigs Bbq Sauce INSURER C:
DBA: Bigs Meat Wagon INSURER D:
2324 Moss Rose Ln INSURER E:
FORT COLLINS CO 80526-2176 INSURER F:
COVERAGES CERTIFICATE NUMBER: 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.
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE ❑ OCCUR PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY � PR� � LOC PRODUCTS - COMP/OP AGG $
JECT
OTHER: $
AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000
ANY AUTO BODILY INJURY (Per person) $
A OWNED � SCHEDULED Y y 5123940200 06/OS/2023 06/OS/2024 BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
XHIRED NON-OWNED $
AUTOS ONLY AUTOS ONLY (Per accident)
X 19 X NON-OWNED MEDICAL PAYMENTS $ 10,000
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
ORKERS COMPENSATION -
ND EMPLOYERS' LIABILITY Y� N STATUTE ER
NY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑ N � A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Commercial Auto Policy includes Blanket Waiver of Subrogation Endorsement 58583 (1-15) and Blanket Designated Insured Endorsement 58504 (1-15). See attached forms
and de6nitions. City of Fort Collins is included as Additional Insured with respect to the General Liability as required by written contract per the included endorsements. See
attached forms.
CERTIFICATE HOLDER
City of Fort Collins
PO Box 580
Fort Collins CO 80522
CANCELLATION
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
Sl�e• Nty�rS
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:
LOC #:
A�� �� ADDITIONAL REMARKS SCHEDULE Page 1 Of 1
AGENCY NAMEDINSURED
Stanton Insurance, LLC Bigs Bbq Sauce
POLICY NUMBER
5123940200
CARRIER NAIC CODE
Auto-Owners Insurance Company 32]QQ EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ACORD 101 (2008/01) OO 2008 ACORD CORPORATION. All rights reserved.
Agency Code 32-0209-00
Policy Number 51-239-402-00
58504 (1-15)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR COVERED
AUTOS LIABILITY COVERAGE - BLANKET COVERAGE
This endorsement modifies insurance provided under the following:
COMMERCIAL AUTO POLICY
SECTION II - COVERED AUTOS LIABILITY COVER- person or organization qualifies as an insured under
AGE is amended. The following provision is added. SECTION II - COVERED AUTOS LIABILITY COVER-
Any person or organization is an insured for Covered AGE, A. COVERAGE, 1. Who Is An Insured.
Autos Liability Coverage, but only to the extent that
All other policy terms and conditions apply.
58504 (1-15) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1
58583 (1-15)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER PAYMENTS
(WAIVER OF SUBROGATION) - BLANKET
This endorsement modifies insurance provided under the following:
COMMERCIAL AUTO POLICY
SECTION V CONDITIONS, A. LOSS CONDITIONS is
amended. 5. Our Right to Recover Payments is de-
leted and replaced by the following condition.
5. Our Right to Recover Payments
If we make a payment under this policy and the per-
son to or for whom payment is made has a right to
recover damages from another, we will be entitled to
that right. That person shall do everything neces-
sary to transfer that right to us and do nothing to
prejudice it.
However, we waive our right to recover payments made
for bodily injury or property damage:
a. Covered by the policy; and
b. Arising out of the operation of autos covered by the
policy, in accordance with the terms and conditions
of a written contract between you and such person
or entity
only if such rights have been waived by the written con-
tract prior to the accident or loss which caused the
bodily injury or property damage.
All other policy terms and conditions apply.
58583 (1-15) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1
Agency Code 32-0209-00
3.
4.
b. Is owned by:
(1) You;
(2) A family member, if you are an individ-
ual, who owns an auto (that is not a
trailer) scheduled in the Declarations for
Covered Autos Liability Coverage or
who only owns a trailer; or
(3) Any other individual or organization who
owns an auto (that is not a trailer)
scheduled in the Declarations for Cov-
ered Autos Liability Coverage.
Coverage only applies for the ownership of the
trailer arising from the use of the trailer by an
individual or organization other than the trailer
owner. No coverage applies to the owner or op-
erator of the auto (that is not a trailer) to which
the trailer is connected.
Mobile equipment while being carried or towed
by a covered auto.
Non-motorized farm machinery or farm wagons
while connected to or accidentally disconnected
from such covered auto.
Policy Number 51-239-402-00
D. TEMPORARY SUBSTITUTE AUTOS
Any auto you do not own while used with the per-
mission of its owner as a temporary substitute for a
covered auto you own that is out of service because
of its:
1. Breakdown;
2. Repair;
3. Servicing;
4. Loss; or
5. Destruction
shall be provided only those coverages which apply
to such covered auto that is out of service.
E. HIRED AUTOS
Any leased, hired, rented or borrowed auto sched-
uled in the Declarations will be considered a covered
auto you own and not a covered auto you lease,
hire, rent or borrow.
SECTION II - COVERED AUTOS LIABILITY COVERAGE
A. COVERAGE
We will pay all sums an insured legally must pay as
damages because of bodily injury or property
damage to which this insurance applies, caused by
an accident and resulting from the ownership, main-
tenance or use of a covered auto as an auto.
We will also pay all sums an insured legally must
pay as a covered pollution cost or expense to
which this insurance applies, caused by an accident
and resulting from the ownership, maintenance or
use of a covered auto as an auto. However, we will
only pay for the covered pollution cost or expense
if there is either bodily injury or property damage
to which this insurance applies that is caused by the
same accident.
We will investigate, settle or defend, as we consider
appropriate, any claim or suit for damages or a cov-
ered pollution cost or expense, covered by this
policy. We will do this at our expense, using attor-
neys of our choice. Our duty to defend or settle
ends when the Limit of Insurance for Covered Autos
Liability Coverage has been exhausted by payment
of judgments or settlements.
1. Who Is An Insured
The following are insureds:
a. You for any covered auto.
b. Anyone else while using, with your permis-
sion, a covered auto (that is not a trailer)
you own, lease, hire, rent or borrow except:
(1) (a) The owner or anyone else, from
whom such covered auto is leased,
hired, rented or borrowed; or
c.
�
(b) Any employee, agent or driver of
the owner or anyone else, from
whom such covered auto is leased,
hired, rented or borrowed.
(2) Your employee, partner (if you are a
partnership), member (if you are a lim-
ited liability company) or executive of-
ficer (if you are a corporation), if such
covered auto is owned by him or her or
a member of his or her household.
(3) A person using such covered auto while
working in a business of selling, leasing,
servicing, repairing, parking, storing,
delivering or testing autos, unless that
business is yours.
(4) A person, other than an employee,
partner (if you are a partnership), mem-
ber (if you are a limited liability com-
pany) or executive officer (if you are a
corporation), or a lessee or borrower or
any of their employees, while moving
property to or from such covered auto.
The owner of a trailer, non-motorized farm
machinery or farm wagon only when con-
nected to or accidentally disconnected from
a covered auto.
A partner (if you are a partnership), a mem-
ber (if you are a limited liability company) or
an executive officer (if you are a corpora-
tion) while someone, other than you, is
using with your permission a covered auto
58001 (1-15) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 16
Agency Code 32-0209-00 Policy Number 51-239-402-00
you do not own, lease, hire, rent or borrow, (4) Interest on damages owed by an
in connection with your business. insured because of a judgment in a suit
e. If you are an individual: we defend and accruing:
(1) A family member who does not own an (a) After the judgment, and until we
auto (that is not a trailer); and pay, offer or deposit in court, the
(2) A family member who owns an auto amount for which we are liable un-
scheduled in the Declarations der this policy; or
while using a covered auto; and (b) Before the judgment, where owed
(3) Anyone else while using, with the per- by law, but only on that part of the
mission of a family member, a sched- judgment we pay.
uled auto. (5) Expenses an insured incurs for first aid
f. Anyone liable for the conduct of an insured to others at the time of an accident cov-
described in 1.a. through 1.e. immediately ered by this policy.
above, only to the extent of that liability. (6) All court costs taxed against an insured
g. Any other individual or organization who in any suit against that insured which
owns an auto (that is not a trailer) sched- we defend.
uled in the Declarations while using a sched- (7) All reasonable expenses incurred by an
uled auto. insured at our request, including actual
h. Those individuals or organizations described loss of earnings up to $250 per day.
in 1.e. and 1.g. immediately above for liabi- b. Out-of-state Coverage Extensions
lity associated with ownership or use of a While a covered auto is away from the state
trailer not scheduled in the Declarations where it is licensed, we will:
which is owned by such individual or organi- (1) Increase the Limit of Insurance for Cov-
zation only when such trailer: ered Autos Liability Coverage to meet
(1) Has a load capacity of 2,000 pounds or the limits specified by a compulsory or
less; and financial responsibility law of the juris-
(2) Is not connected to an auto; or diction where the covered auto is being
(3) Is connected to an auto (that is not a used. This extension does not apply to
trailer) to which Covered Autos Liability the limit or limits specified by any law
Coverage is not provided by this policy governing motor carriers of passengers
while such trailer is being used by an or property.
individual or organization other than the (2) Provide the minimum amounts and
trailer owner. types of other coverages, such as no-
i. While any covered auto scheduled in the fault, required of out-of-state vehicles by
Declarations is rented or leased to you and the jurisdiction where the covered auto
is being used by or for you, its owner or is being used.
anyone else from whom you rent or lease it We will not duplicate payments available
is an insured but only for that covered auto. under this or any other insurance for the
2. Coverage Extensions same elements of loss.
a. Supplementary Payments
In addition to our Limit of Insurance for B. EXCLUSIONS
Covered Autos Liability Coverage, we will This insurance does not apply to any of the
also pay: following:
(1) Premiums on appeal bonds in any suit 1. Care, Custody or Control
we defend. We will not apply for or fur- Property damage to or covered pollution cost
nish such bonds. or expense involving property owned or trans-
(2) Premiums on bonds to release attach- ported by the insured or in the insured's care,
ments in any suit against an insured custody or control. This exclusion does not ap-
we defend, but only for bond amounts ply to:
that do not exceed the applicable Limit a. Liability assumed under a sidetrack agree-
of Insurance. We will not apply for or ment; or
furnish such bonds. b. Property damage to a residence or private
(3) Up to $2,000 for the cost of bail bonds garage, caused by a covered private pas-
(including bonds for related traffic law senger auto, when the residence or private
violations) required because of an acci- garage is in the care, custody or control of
dent we cover. We will not apply for or the insured.
furnish such bonds.
58001 (1-15) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 16