HomeMy WebLinkAboutJAG'S ENTERPRISES INC - INSURANCE CERTIFICATE 2023-2024��ORa� CERTIFICATE OF LIABILITY INSURANCE nAT���M9r202�YYYJ
T�tIS CERTiFlGATE IS ISSUEfl AS A MATTER OF INFORMATION ONLY ANd CONFERS NO RIGHTS UPON THE CE�I��FICATE HOLDER. THI'.
CERTIFICATE DOES [+iOT AFF�RMATIVEI.Y OR N�GATIVELY AMENQ, EXTEND OR ALiER �ltE COVERAGE AFFORDEb BY THE POUCIE:
BELpW. 7HiS CERTIF'1CAYE OF Ii�ISURANCE flOES NpT CQ�lSTiiUTE A CONiRACT BETWEEN THE ISSUIIVG INSURER(S), AUTHORIZ�[
REPRfS�NTATIVE OR PROdUCEA, Ai+iD THE CERTIFICATE NOLDER.
IMPORTANT: I! the certiticaie holder is an AD�fT�ONAL INSURED, the policy(ies) must have ADDITIONAL iNSUFIE� provisions or be endorsed
If SUBFiOGATION 13 WAIVED, subject to the terms and aondHions of the policy, certaln policies rrtiay requlre an endorsement. A statement or
this certiflcate ctpes not confer ri hts to the certificate holder 4n fleu of suth endorsemeni(s .
PA�DUCER
NAME: KBbE S1110thE15
CRS Insurahce Brokerage PHONE - -� FA% ---- —
9780 S Meridian Sivd Suite 400 • 303-996-7800 ac No : 303-757-77; 9
Englewood CO 80112 Aoo��ss: ksmathers crsdenver.com
lNSURED
Jag's Enterprises, Inc.
7951 W 26th S6reet
Graeley CO 80634
4*
INSURER F :
CQV�HAG�S CERTIFICATE NUMBER:948516027 REVISION NUMBER:
TMIS IS TO C�RTIFY 7FiA1' Tli� POLICfES OF tNSURANCE LISTED BELOW HAVE B�EN ISSEJED TQ THE INSURE� NAM�D ABOVE FOR THE POLICY PERIO[
W�ICA7ED. NOTWITFISTANDING ANY REQUIREMENT, TERM OR CONOITION Of ANY CONTRACT OR OTW�R DOCUMENT WiTH RESPECT Td WHICH 7HI:
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEQ BY TN@ POLICIES D�SCRIB�D HERE"N IS SUBJECT Tp A: L THE TERMS
EXCLUSIONS AND CpNDITIONS OF SUCH PpLICIES. �IMfTS SHOWN MAY HAVE BEEN REOUCEO 6Y PAID CLAIMS.
�Tp TYPE OF INSURAkCE Aoo� §ueRl POUCY EFF POLICY FJ(P
f p � W p I POLICY NUIIRBFFi MMlDOIYYY 1JIAWDfYYYY ����
8 X COMIAERCIALGENERALLtABkLITY 1fl162523CP 772712023 1127l2024 gq�HOCCURRENCE E1.00O,OOU
CLAlMS-MADE %� pCCUR PREMtSE�Ea �caurence] S 10U.000
� ME� EXP fAny ane persan] S 5,Q00
l AGQREGATE Llluil7 APPUES P�R
POI.ICY x JEC LDC
B AUTDIYIOBlLE LIABILITY
x ANY AUTO
OWNED �
AUTQ$ pl�LY
X HIF1Ed
AU?OS ONLY
SCHEOULE�
AUTO$
NQN �OWlJ� D
AUTOS ONLY
UMBREkkA IIAB
EXCESSLJAB
OCCUR
C W MS� MAOE
A WORKER5COAAPENSATI6N
AND EMPLOYERS' LIABIiRY Y r H
ANY#�ROPRIETpR1PARTNERIEXECUTiVE �
OFFICERriNEMBEREXCLUdE07 �� � N r a
(Mendalory !n NH)
II yes. dascribe under
B j Lessed end Rentad Equipmeni
€ 3padal Form1ACV180% Coinsurexa
INSURER D :
4l2712 p23 I 1127l2024
si�rzazs I srinoza
PERSqNAL & ApV INJURY S 1.D00.040
GENERALAGGfiEGATE y2,Q00,00�
PRO�UCTS - C01aiPiOP AGG S 2,000.09D
S
COM81N£D SINGLE LIMIT y 1,Q00.000
La actident)
BODILY INJURY {Per person) 5
BODILY IAFJURY {Per aoadenty S
PROPERTY DAMAGE 5
�Br af.�f��Q�nE}
$
E,4CH OCCURREF+tCE S
AGGREGATE S
I E.L. EACH ACC4DENT S �.DOD,000
E�L. DESEASE � EA EMPLOYEE S 1,DOO,OOO
E.L.OISEASE • POLICY LfMIT 51.00O,OOD
tl2712D23 1127/2024 umit 115,OOD
�edua�ble 1,000
1AGSE•1 iNSiJRERB: SSat@ AUtQ I115k1f8f1G� GOf11p8f1:e5
l D 162524CA
4146867
�o�sz5a3cP
DESCFiIPi19N OF OPERATIOIiS � LOGATIONS+YEHICI.E3 (ACORD 101, AddFlFonal Remarks Schadule, may be allached ii more spece is requfred)
The Cerhficate Holder �s ncluded as additional insured on the General Liability with respect to angoing and compleled operatians of the named insured for tha
cerfificate holder as reguired by written centract.
ER
Cit�r oi Fort Coliins
Building Services Depar#ment
281 N College
Fort Coi�ins CO 80524
ACORD 25 (2Q1G/03)
SF#OULD ANY b� 7HE ABOVE UESCRlBED POLICIES BE CANCELLED BEFORI
THE EXPIRATIQrt DATE TH�REOF, NOTICE WiLL 8E DEUVERfD f1
ACCORDANCE W�TH THE POL�CY PROV1SiONS.
AUTHORIZEO REPRESENTATIVE
� `�t
01988-2015 ACOR[? CORPDRATION. All rlghts reservE
The ACQR� name and logo are registared rnarks of ACORD
1877: 2