HomeMy WebLinkAboutJAG'S ENTERPRISES, INC. - INSURANCE CERTIFICATE 2024-2025 (1)A� �� CERTIFICATE QF LIABILITY INSURANCE DA7E�MM�Dp/YYYY)
��� ,r2aizoza
THIS CERTlFlCATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA'iE HOLOER. THIS
CERTIFICATE DOES NOT AFFIRMAT{YELY OR NEGATIVELY AMEND, EXTEND OR ALTHR THE COVERAGE AFFORDED BY THE POLICIE5
BELaW. TFfIS CERTIFICATE OF INSURANCE DOES NOT CON5TITUTE A CONTRAC7 BETWEEN THE ISSUING INSURER(S), AUTHORIXED
REPRESENTA7IVE OR ARODUCER, ANQ THE CERT[FICATE HOtDER.
IMPORTANT: If the certificate holder Is an ADDIT�ONAL INSURED, the poEfcy(!es) must ha�e ADDITIONAL INSURED provlslons or be endorsed.
li SUBROGA710N IS WAIVEa, subJect to the terms and conditions oi the pollcy, certain poticles may require en endorsement. A stetement on
this certiflcate does not confe� rt hta to the certificate hoider in Ifeu ot such endorsement(s .
AROOVCER NAME: K8b8 S�l'IOitl8f5
CRS Ensurance Broicerage —vr�w,s nx-�������-
9780 S Meridian Blvd Suite 400 . 303-996-7800 a ; 303•757-77�9
Englewood CO 80112 A��gEss: ksmothers[Dcrsdenver com
IN5URED
Jag's Enterprises, Inc.
7951 W 28th St�eet
Greeley CO 80634
iNsuReRn: Pinnacol Assurance 41190
JAGSE-S INSURERB : St3�8 AUIO 1f15UT811C0 COfT1p8f11QS 11017
INSUREfi C :
INSURER D :
_ _ _. _
IN3URER E : I
INSURER F : I
COVERACiES CERTIFtCATE NUMBER:750553891 REVISION NUMBER:
TNIS IS TO CERTIFY TWAT THE POLICIES OF iNSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NANfED ABOVE FOR THE PO�ICY PERIOD
INDICATED. NOTWI7HSTANDING ANY RE�UIREMENT, TERM OR COhlDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH FiESPECT TO WHICH TH1S
CERTIFICATE MAY BE iSSUED OR MAY PER7AIN, THE iNSURANCE AFFOROED BY THE POLICIES DESCRIBED HEAEIN IS SU$JECT TO ALL THE TERMS,
EXCL41S10N5 AND CONDIT10N5 �F SUCH POLICIES. 41MITS SHOWfJ MAY HAVE BEEN REOUCEO 8Y PAID CLAIMS.
INSR 7YPE OF INSURAfICE AbDUSUBp POUCY EFf POLIC Y �7fP
LTF W POUCY NUMBER MIu4'DDrYYY MMfiDlYYVY u��
6 X COMIIERCIAlf3ENERALLIABfUTY 10162523CP 1l27l2Q24 41272�25 EqCHOCCURRENCE t1000.000
CLAIMS•MADE , x OCGUR PREM S�S ;Ea oCarrr nCo i 100,009 __
MED EXP (My one per5pn) 5 5 OOD
PERSONAL 8 ADV INJURY � 1.000.000
GEN'L AG�REGATE LIMIT APPLtES PER GENERAL AG(:1REGAI E S 2 OOQ,000
POLlCY ,%� , E� LOC PROOIIC'S • CQMPrOP AGG S 2.000.000
OTHER s
g AUTOMOBlLELIABItITY 10182524CA 1127/202A 1f27/2025 G�B�NEDSiNGLEL7Mlt g�,000,000
�En acpden;; _
X ANY AUTO Bppl_Y INJ..RY iPer perao�l S
OWNED SCMEOULED BOpILY IN,1,.pY iPer aatidonli E
AUTOS ONLY AUTOS
X HIRED X NONOWNED PROPERTYDAfNAG� E
AUTOS ONLY AUTOS ONLY �Per acci0enly �
� b
tJM6RHLLA LIAB p�CUR EACH OCCURRENCE S
FJ(CE$$ UAB CIAVHtS•MADE AOOREGA7E S
DED RETENTION 5 b
q WORKERSCOMPENSATION 414&867 611l2023 611/2024 (X STA7UT� ER�
ANDEMPLOYHRS'LIA81L1TY Y!N
ANYPROPRIETOFtPARTNER�EXECUTIVE � N! A E.L, EACH ACCID£NT S 1 000 000
IOFFICEWMEMBEHfiXClUOED? "-"" —�'`-"
(Mandatary In NN) p l p1SEASE fA EMPLOVEE 31,000 000
If yes, dGscribo wWor
DESCRIPTION OF OPERA?IONS bebw E.L �ISEASE POL�CY LIM�T S 1 000,000
B j Leased and Rented Equfpinent 101fi2523CP 7127l2024 � N27/2025 umN I 15 000
� Spadal FoimIACVl80%. Goinsurance DeducUble i.000
I
�ESCRSPTION OF OPERATION3 ! LOGATION9 r VEHICLES (ACORD 101, Addldonal Ramarks ScMdut�, may be atteched if moro spece b requlred)
7he Certificate Holder is ncluded as additional insured on the General Liabiliry with respect to vngoing and completed aperations of the named msured for the
certifrcate holder as required by written contract
SHOULD ANY OF THE ABOVE UESCRIBED PQUCIES BE CANCELLEO BEFORE
7HE EXPIRATION DATE THEREOF, NOTICE WII.L 6E OELtVEREO IN
CItY Of FOft C0111115 ACCORDANCE WITH TN� POLtCY PROYISIONS.
Budding Services Department
2$1 � �OII9g@ AUTNORI2EOREPAE3ENTATIVE
Fort Coflins CO 8052d � C�1
� 1988-2015 ACOIiD CORPORATION. AI! rights re8erved.
ACORD 25 (2016/Q3) The ACORD neme and Iogo are regfsiered marks of ACORD
ioisz�or2