HomeMy WebLinkAboutJAG'S ENTERPRISES, INC. - INSURANCE CERTIFICATE 2024-2025`� CERTIFICATE OF LIABILITY INSURANCE DAT;�24/ZO24 vY,
ACORO�
THIS CERTIFlCATE IS 155UED AS A MATTER OF INFORMATtON ONLY AND CONFERS NO RIGHTS UPON THE CER7IFICATE HOLDER. THIS
CERTIFICATE D�ES NOT AFFIRMA7IVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY 7HE POLICIES
BELOW. THIS CERTIFICATE OF fN3URANCE DOES NOT CpNST1TUTE A CONTRACT BETWEEN 7HE ISSUING INSURER(S), AUiHORIZED
REPRESENTATIVE pR PROQUCER, AND TFtE CERTIFICA7'E HOLDER.
Ii1lpOiiTQNT: If the certificete hoider is an ADDITIONAL INSURED, the policy(ies} must have ADDITIONAL INSUREO provlsfons or be endorsed.
It SUBROGATION iS WAIYED, s�bject to ihe terms and conditions of ihe policy, tertaln pollcles may requtre an endoraement. A stetement on
this certiflcate does not confer rlghts to the certlfloate holder In Ileu of such endorsement(s1.
PRODUCER
CRS Insurance Brokerage
9780 S Meridian Blvd Su�te 40Q
Englewood CO 80112
Katie Smothers
com
3fl3-757-7719
iH3l1RED
Jag's Enterpnses. Inc.
7951 W 28th Street
Greeley CO 80634
iNsuRER a : Pinnacol Assurance
�AGtiE � INSUREA B: S�8tB AlJtO 111SU�8nCi
INSUREA C :
INSURER D :
INSURER E :
41190
1t017
COVERAGES CERTIFICATE NUMBER: 835657578 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED SELOW HAVE BEEN ISSUED TO THE INSURED NAME� ABOV� FOR T1iE POLICY PERIOD
INDICATED NOTWiTNSTAN0ING ANY FEQUIREMENT, TERM OR COI�D1710N QF ANY CONTRRCT OR OTHER DOCUMENT WITH RESPECT TO WHICFi THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO BY 7HE POLICIES DESCRIBEQ HEREIN IS SUBJECT TQ A4L THE TERMS.
EXCLUSIONS AND CONQITIONS OF SUCH POUCIES. LIMITS SHOWN MRY HAVE 6EEN REDUCEO BY PAID CLAIMS.
���q TYPEOFINSURANCE A06L'$U�iij—��CVNUMBER � MIVDWYYF� M�i�ll�p�DNVYP I UMTS
!
B X CdMMERGALaENEpALL1A911.1ri Y 10152523CP 1127/2024 1/27/2025 ' EACHOCCURReNCE 51,000,000
� CLAIMS•MADE � x� OCCUA PREMIS�7 rr� �ce E 190.000
�I ___ � MED EXP (My o�rson) ; 5,000
I� r PERSONALBA�VINJURY S 1,000.000
GEN'L AGGREGATE LIMI7 APPLIES PER GENERAL AGGREGATE S2.00O,OOD
� POLICY x jE� LpC PRODUCTS COMP/OPAGG 52.000,000
I OTHER. _
e AUTOMOetLEUAeIUTV Y 10162524CA 1l27/2024 4f2712025 �B�NEDStNGLELIMIT 5�,000,000
_{�a agadent�
X' ANY AUTO BpDILV IN,lURV jPer person� S
�OWNED SCHEOULEO BODiLYlNJURY Paracadenti i
AUTOS ONLY AUTOS
X HIRED X Nor� ow��D pROAER7Y DP,MAGE E
AUTOS ONLY I AUTOS ONLY t LPer eccidont
_.
I E
U1�18RELLA�IA9 ��R � EACHOCCURRENCE E
, EXCES9 UAB I CW1�IS-MADE AO(3flEOA7E 5
I DED I I RETENTION 5 S
A MiOAKERSCOMAENBATSbN � 414&867 611l2023 811J2024 �x $TATUTE � Efl
ANO EMPLOYERS' LIABiLRY Y/ N "�
ANVPROPRIfi70WPAR7IVER�EXECUTIVE � N� A E.L. EACH ACCIDENi s 1,000,000
I OP F� C EFirM E�18 E R E XCLUDE 09
i( M e n d a t o ry I n N F Q E1. O I S E A S E • E A E M P L O Y E E 5 �. 0 0 0, 0 0 0
� II yes doscribe uiWer
� DESCRIPTION OF OPEHATIOMS bebw I E.L. OISFJ�SE • POLICY L!M!T S 1 009,000
8 Leased end Ran;ed pVuipment 10162523CP 1127l2024 1l27/2025 � ��m� 115,000
Speaal FormlAGv160%i Coinsurance � p9ducuble 1,000
DB9CRIPTION OF OAERATIONS � LOCATIONS t VEMICLES (ACORD 101, AddltlonW Rotnerka 9chedutl, maY W atlxhed if mote specs is requked)
Ciry of Fort Collins, its oificers, agenLs and employees and Colorado Department of Transportation are mcluded as addieonal insured for ongoing operations on
the General Liability and included as additional insured on the Auta Vability vnth respect to operat�ons of the named msured for the certificate holder as required
by wntten contract. General Liability coverage is pnmary and non-contr�butory.
TI ON
SHOULD ANY OF THE ABOYE DESCRIBED POLiCIES BE CANCELLED BEFOqH
THE fXPlRATION OA7E 7HEREOF, N0710E WILL BE DELIVEflED IN
ACGORDANCE WiTH THE PdLICY PR�WS�ONS.
City of Fort Collins
289 North College
Fort Coffins CO 84524
ACOFiD 25 (2016/03}
AUTHOHIZED REPRESENTATIVE
°`k.�' G��MM�.I
� 1988-2015 ACORD CORPORATION. AII righta reserved.
The ACORD name a�d iogo ere registered marks oi ACORD
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