HomeMy WebLinkAboutHORROCKS LLC - INSURANCE CERTIFICATE,acoRO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM��DD�YYYV)
�,r-- O1/Q3/2024
THIS CERTIFICATE IS IS3UED AS A MATTER OF INFORMATTON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA7E HOLDER. THIS
CERTIFICATE DQES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COV�RAGE AFFOROED BY THE POLICtES
BEL�W. TH15 CERTIFICATE OF INSURANCE DOES N07 CONS717UYE A CONTRAC'F BE7WEEN THE ISSUING ItJSURER(S), AUTHORlTED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICA7� NOLDER.
IMPORTANT: Ii the cerilTicate holder is an ADDITfONAL INSUREQ, the policy{ies} must have ADGITIONAL INSURED provisions or be endorsed.
lf SUBROGATION IS WAIVED, subJecl Ea ihe terms and conditions of the policy, certafn pollciss may require an endorsement. A statement on
this certiHcate does not confer ri hts to the certificate holder in Ileu of such endorsement s).
PROOUCER CQN7ACT qi2lis Towara Natson CortificatQ Contor
NAME:
Willls Torers iPetaon Insurence Servica• West, Inc, pl10NE 1-877-945-7378 FAX 1-BBB-467-2378
c/o 26 Century Blvd NC No:
P.O. Box 30519i A DRESS: certificatee@wil]is.com
Nw�hV171f�. TN �7>7fSaiai ttaa
INSURED
Hnrsocke I,LC
2162 N Grova Pfcxy, Ste 100
fl�asant Grovs, UT 84052
TB2-641-4�6161-053
COVERAGES CERTIFICATE NUMBER: wsz3seaes REVISION NUMBER:
THIS IS TO CERTlFY THAT THE POLICIES OF INSURANCE LISTEp BELOW HAVE BEEN ESSUED TQ THE INSURED NAMED ABOVE FOR THE POLICY PERIOb
INDICATED. NOTWITHSTANDING ANY REQUIHEMEN7, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOADEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDfTIONS OF SUCH PQUCIES LiMITS SHQWN MAY HAVE F3EEN REDUCED BY PAID CLAIMS.
NSR TYPE OF WSURANCE ��TT�IaDDI SUBR T pOLICY NUMBER I MM�C�YY M�M�D� D.Y/YYY LIIATS
iTR
X� COM/AERCIAL GENERAI LIABIL{7Y I�CH OCCURRENCE $ 2, Q00, 00
� � CLAIMS-I.fADE x OCCUR I ' 1, 040, 00
PREMISES�Ea acturrence 3
�
GEN'L AGGREGATE LIMiT APPLiES PER
X ' POLICY �RO• LOC
JEGT
AUTOMOBfLE UABILITY
X AtJY AUTO
B OWNED SCHEDULEO
� AUTOS ONLY AUTOS
HIRED NON QWNEp
AUTOS ONLY � AUTOS QN_Y
�( UMBRELLA LIAB X O�CUR
C
� EXCESS LIA9 CLAIMS MAOE
I DED I I RETENTIONS
WORKERS COlAPENSATION
AND EMPLOYEAS' LIABILtri Y� N
B �ANVPHOPHlETOft'PARTNER'EXECUT{VE Q
�OFFICER�MEMB£REXCLUDED� N'A
(Mendelory in HH)
II ve4. f165crib@ undB�
D Prof�asionnl Lieb 1nc1 Pollutlon
AS7-641-046161-003
1►UC 8344746-00
NC7-641-4C6161-063
lNSURER(S} AFFORpIHG COVERAGE NAtC B
If:SURERA: Liberty Mutual Fire Insurence Company 23035
II�tSURER6: Liberty inavrancn Corporntion I 42a04
iMSUREqG: �arican Guarantaa and Liability Inaurancel 26247
INSURERD: �lled World Surplue Linas Inaurance CouspaT 24319
INSURER E : I
INSURER F :
__.. T _ - ----�--•
MED EXP (An one person� S
12/31/2023 12/31/Z024I PERSONAL8AOYiNJURY S
GENeRAI.AGGREGATE $
I PRODUCTS - COMP�OP AGG S
IS
COMBINED SlNGLE LIMIi s
[a acatlonll ��_
BODILV INJURY (Per persony S
12/31/2023 12/31/202� BOOILYItJJl1RY(Peractident) $
PROPER7YDAMAGE $
(Per accident)
$
25,00
2,000,00
6,ODO,DO
A,000,00
5,600,00
,EACNOCCURRENCE �$ 10,000,00
12/31/2023 12/31/202C AGGREGATE Ig 10,000,00
IS
f X S7ATUTE I ERH
E.L. EAGH ACCIDENT g 1, Q00, 00
12/31/2023 12/32/202d �
E.L. DISEASE EA EMPLQYEE� 3 1, Q00, 00
E.L. DiSEASE � POLtCY LIMiT $ 1, 000, 00
0313-8987 07/O1/2023 D7/02/202< Eech Clain Limit �$S,OOO,OOD
Policy Aqqreqete �55,000,000
OESCRIPTION OF OAEHATIONS ' LOCATIONS 1 VEHiCLES (ACORD 101, Addllfonal Remarks Schedule, may be attached if mo�e spate is �equked)
CERTIFICATE HOLDER
SHOULD ANY OF TriE A80VE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTIGE WILL BE DELIVERED IN
ACCORDANGE WITHTHE POLICY PROV1S10NS.
City of Fort Collina AUTHORIZED REPRESENTATtVE
Purchasing Division
p0 Box 580 /'� �,
8ort Collins, CO 80522 L__y
� 1968-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (201fi/03} The ACORD rtame and fogo are registered marks of ACORO
sn zn: 25224I99 �t�H� 3267472
CANCELLATIQN
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