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Home My WebLink AboutFLAGGERS INC - INSURANCE CERTIFICATE 2020-2021 (2)�� FLAG I N C-01 PAU LA '4coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �� 12/14/2020 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 paula Weeks NAME: Mountain West Insurance - Englewood PHONE 3575 S Sherman Street (aic, No, eXc�: (303) 788-1916 �aic, No�: (303) 762-1733 Englewood, CO 80113 ADOR�Ess: paulaw@mtnwst.com INSURED Flaggers Inc 420 E 58th Ave #116 Denver, CO 80216 iNsuaeaa: Burlington Insurance Co. iNsuaea s: Cincinnati Insurance Con iNsuRea c: Evanston Insurance Com INSURER E : INSURER F : 23620 35378 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. INSR TypE OF INSURANCE ADDL SUBR pOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM DD YYY MM DD YYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ � rOOO�OOO CLAIMS-MADE X OCCUR 332B002002 12/11/2020 12/11/2021 DAMAGETORENTED 100�000 X PREMISES Ea occurrence $ MED EXP An one erson $ 5,�� PERSONAL & ADV INJURY $ � rOOO�OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000�000 X POLICY � jE � � LOC PRODUCTS - COMP/OP AGG $ 2,000�000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ��OOO�OOO Ea accident $ ANYAUTO X ENP0237084 3/4/2020 3/4/2021 BODILYINJURY Per erson $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ C+ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ � rOOO�OOO X EXCESS LIAB CLAIMS-MADE XOBW$$�6220 12/11/2020 12/11/2021 AGGREGATE $ DED RETENTION $ Aggregate $ � ��0�� WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y� N STATUTE ER ANY 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 $ B Property ENP0237084 3/4/2020 3/4/2021 BPP 70,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 107, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is named as additional insured with respect to general liability and auto liability coverage, if required by contract. HOL City of Fort Collins P.O. 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 ��Jl. ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED BY CONTRACT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is indi- cated below. Endorsement Effective: 03-04-2019 Named Insured: Policy Number: EBA 023 70 84 FLAGGERS INC Countersigned by: (Hutnorized Hepresentative) With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION II - LIABILITY COVERAGE, A. Cover- age, I. Who is an Insured is amended to include as an insured any person or organization with which you have agreed in a valid written contract to provide insurance as is afforded by this policy. This provision is limited to the scope of the valid written contract. This provision does not apply unless the valid written contract has been executed prior to the "bodily injury" or "property damage". AA 4171 11 05 COMMERGIAL GENERAL LIABILITY CG 20 33 04 13 TH15 ENDORSEIUIENT CHANGES THE P�LICY. PLEASE READ IT GAREFULLY. ADDITIONAL INSURED - �WNERS, LESSEES �R C4NTRACTORS - AUT4MATIC STATUS WHEN REQUIRED IN C�NSTRUCTI�N AGREEMENT WITH YQU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY C�VERAGE PART A. Section II — Who Is An Insured is amended ta include as an additional insured any person or organization for whom you are performing operatians when you and such person or organization have agreed in writing in a contract or agreement that such person or arganization be added as an additional insured on yaur palicy. Such person or organization is an additional insured anly with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole ar in part, by: 7. Your acts or omissions; or 2. The acts or omissions of thase acting on your behalf; in the performance of your ongoing operations for the additional insured. B. With raspect to the insurance afforded to these addikional insureds, the following additional exclusions apply: This insurance daes not apply to: 1. "sodily injury", "property damage" ar "personal and advertising injury" arising out af the rendering of, or the failure to render, any prafessional architectural, engineering or surveying services, including: a. The preparing, approving, ar failing to prepare or approv�, maps, shap drawings, opinions, reports, sun�eys, field orders, change orders or drawings and specifications; or b. Super�isory, inspectian, architectural or engineering activities. Howe�r, the insurance afforded ta sueh This exclusian applies e�en if the claims against additional insured: any insured allege negligence or other wrongdaing 1. Only applies to the extent permitted by law; in the supervision, hiring, employment, training or and monitoring af athers by that insured, if the 2. Will not be broader than that which you are "accurrence" which caused the "bodily injury" or required by the contract or agreement to "property damage", or the afFense which caused provide for such additional insured. khe "personal and aduertising injury", inval�ed the rendering of ar the failure to render any A person's or organization's status as an professional architectural, engineering or additional insured under this endarsement ends sun�eying ser+nces. when your operations for thak additional insured are completed. CG 20 33 04 13 Q Insurance Services Office, Inc., 2Q12 Page 1 af 2 2. "Bodily injury" or "property damage" occurring after: a b. All work, including materials, parts or equipment furnished in connection with such wark, on the project {ather than service, maintenance or repairs} ta be performed by or on behalf of the additional insured(sj at the location of the covered operations has been completed; or That portion of "your work" aut af which the injury or damage arises has been put to its intended use by any person or organization ather than another contractor ar subcontractor engaged in pertorming aperations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount af insurance: 1. Required by the contract or agreement you ha�e entered into with the additianal insured; or 2. A�railable under the applicable Limits of Insurance shawn in the Declaratians; whiche�ner is less. This endorsement shall not increase khe applicable Limits af Insuranee shown in khe Declarations. Page 2 of 2 Q Insurance Services Office, Inc., 2Q12 CG 2U 33 p4 13