HomeMy WebLinkAboutSMALL BEGINNINGS LLC - INSURANCE CERTIFICATE 2022-2023�►�� o� CERTIFICATE OF LIABILITY INSURANCE oA5{{16/2D23'
THIS GERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION OkLY AND CONFERS NO RIGHTS UPON THE CERTIFECATE HOL�ER. THIS
CERTIFICATE DOES NOT AFFlRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE CQVERAGE AFFORDED BY THE POLICiES
BELOW. THI5 CERTIFICATE OF lNSURANCE DOES NOT CONS717U7E A CON7RACT SETYYEEN THE ISSUING INSURER(S�, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND TFEE CERTIFICATE HOL�ER.
IMPORTANT: If the certificate holdar is an AD�ITIQNAL INSURE�, the policy(iesj must be endorsed. If SUBROGAFION IS WAIVED, subJect to
the terms and conditiona of the policy, certain policies may require an endarsement. A statement on this certificate does not confer rights to thc
ceRHicate holder in Iieu of such endorsement�s).
PROOUCER NAME: �rBA G@OYCJ6� CISR� QCLS
Flood and PeterBon PHONE (g701 35 6-012 3 FAX ,}�o���} u��
NC No Eut : NC No :
9p Bpx 578 E-MA4 KGeor e?F1oodPeterson.com
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Greeley
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Small Beginnings,
4557 Denrose Court
Fort Collins
CQVERAGES
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INSURER 6:Ot110 S@CllYlt IA9UYdY1C� CO dYl
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INSURER E• T�1@ HdriOV@Y I12SUTd11C@ COY0. dri
CO 80524 INSURER F ;
CERTIFICATE NUMBER: sr�wL sEGnarrrrrGs REVISION NUMBER:
24082
15691
2�199
22292
THfS IS TO CERTIFY THAT THE POLICIES OF INSiIRANCE LISTE� BELOW HAVE BEEN ISSUED TO THE INSURED iVAMED ABOVE FOR THE POLICY PERIO�
INDICATED NOTWITHSTANDING AMY RfQUIREMENT, TERM OR CONDITI4N OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH TH S
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PO�ICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIOIVSANO CON�ITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAID CLAIMS
tlYSR 7ypE OF INSURANCE AOUL SUBR pOLlCY iJUMBER MMI�DfYYYY MMIUUfYYYY LIMITS
LTR
}( COMMERCIAL GENERAL LIABILI7Y EP,CH OCCURRENCE 5 1, OOO , OOO
A CLAIMS�MAOE ❑X OCCUR PREt�11SE5 Ea Noccurcence 5 500 , 000
R BI/PD Deductible: $10�0�� �Q.VSPF4605�Y5 !0/1/2022 :q/1/2023 ME�EXPfAnyonepeisan) S 5�000
PERSONAL 8 AOY INJURY S �. 000 � ODO
GEN'LAGGR£GATELIMI7APPLIESPER� GENERALAGGREGATE 5 2.0OO,ODO
%{ POLICY Q jERC7 � LOC PROOUCTS COMP/OPAGG S 2.000,000
OTHER S
AU70MOBILE LIABILITY COMBINf� SINGLE LIM T g 1, 000, 000
Ea acutlenl
X ANYAU70 BOOILY INJURY {Per persanj S
B ALL OWNED SCHEDLILED
AUTOS AUTOS �+�Z316496ML7 i0/1/2Q22 :8/1/2023 8001LY INJURY {peratGGertq S
NON�OWMEO PROPf RTv DAMAGE 5
X MIREDAUTO5 X A11T05 Per acc�tleM
S
UMBRELLALIAB pCCUR EACH OCCt1RREMCE S 6 OOO.00O
C X E%CESSLIAB �VqIMSMAOE AGGREGATE S 6,000,000
OED X RETENTION S 0 %SE77571001 10?1J1U11 10/1/2023 S
MYORKERS LOMPENSA710N PER OTH-
ANO EMPLOYERS' LIA61LI7Y Y! N TAT 7 ER
pNY PROPRIETORIPARTNERIEXECUTIVE E.L fACH ACCIbEN7 S
OFFICERIMEMBERE%CLU�E�� ❑ k�A
(MandatoryinNHj E.L,DISEASE-fAEMP_OYEE S
II yeS, desuibe untler
OESGRIP710NOFOPERATiONS6How EL.DISEASE-POUCYLIM�T S
D Cyber Li3bility C-4LPY-000996 ;;YBER 7f.? 1 5/13/2023 10/1/2024 52.000000 $§, �QD RiEt..
Crime BD3-JC16565 8, 5/13/2023 10/1/2024 51000,000 $10,000 Ded,
�ESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES (ACORU 101, Additional AamarMa Schadule, may be attachad if more space ia requiredj
Certificate holder is included as Additional Insured as required by written contract with =espects to
liability arising out of work performed by the named insurad.
CERTIFICATE HOLDER
City of Fort Collins
PO Box 584
Fort Collina, CO 80522
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAHC6LLE� BHFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DBLIVERED IN
ACCORDANCE WITH THE POLICY PRaVI510NS.
AU7HOR�ZH� REPRESEMTA�IVE
Geosge, CFSR, QCLS/
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ACORD 25 [2814101j The ACORD name and logo are registered marks oi AGORD
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