HomeMy WebLinkAboutJAG'S ENTERPRISES, INC. - INSURANCE CERTIFICATE 2023-2024DA1E(MM�UDIYYVY)
A�RD� CERTIFtCATE UF LIABILITY INSURANCE 1/23/2024
THIS CERTIFICATE IS ISSUHO AS A MATTER OF IfJFORMATION ONLY AND CONFERS NO RlGHTS UPON THE CER74FICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVE�Y OR NEGATIVELY AMEND, EX'TEND OR ALTER THE COVERAGE AFFORDED BY iHE POLICIES
BEIOW. THIS CERTIFICATE dF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED
REPRESENTATIVE 8R PRODUCER, AND THE CER7IFICA7E HOLDER.
IMPOR7AN7: I1 the certificate hotder Is an ADQtTIONAL INSURED, the policy(les) musi heve ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, sub�ect to the terms and conditions ot the pollcy, cehain palicles may requ4re an endorsement. A statement o»
thls certlficate does not confer ri hts to the cert[flcate holder In lieu of such endorsement s.
PRODUCER MAME: KSUB SR10UlE�'S
CRS Insurance Brokerage AHONE �az
9780 S Merid�an $Ivd Suite 400 • 303-996-7800 ac ko: 303-757-7719
E-MAf L
Englewood CO 8Q112 ao�A�sa ksmothers�,Dc c�rsdenver.com
INSURED
Jag's Enterpr�ses, Inc
7951 W 28th Street
Greeley CO 80634
IN5URER(Sj AFFOHDING COYERAGE
INSUREq A : PlfifidCOt ASSUf8f1C@
JAGSE 1 �NSURERB: StBtE AtltO In511f811Ce COfT1p2111e5
INSURER D :
NAIC r
41190
COVERAGES CERTIFICATE NUMBER:1Q6275522 REVISION NUMBER:
THIS IS TO CER7IFY THAT THE POLICIES OF INSURANCE LISTEO BEIOW HAVE BEEN 1SSUED TO THE IMSURED NAMED A80VE FOR THE POLICY PERl00
INDICATEO. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY COtJTRACT QR OTHEA DOClJMENT WITH RESPECT TO WHICH THIS
CER7IFICA7E MAY 6E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREfN IS SUBJECT TO ALL tHE TERMS,
EXCLIJSIONS AND CONDITIONS OF SUCH POI.ICIES. LIMITS SHOWN MAY FiAVE BEEN REDUCED BY PAID CLAlMS.
INSR TYPB OF INSURANCE AODL UBA �' POLICY EFF POLICY EXP
LTR i 0 WVO POLICYNUMBER MIA�DD�`YYYY MAIlDD�YYYY LIh9TS
g X GOMMERCIALGENERALUABILITY Y 10f62523CP 1f2712023 1127l2024 EqCHOCCURRENCE S1,OOO,OQO
CLAIMS MAUE � OCCt1R PR[M SESa a oca�b nce S 100.000
MED EXP IMy orxr person) $ S,ODQ
PERSONAL & ADV INJURV S 1.00O.QOO
GEN'L AGGHEGATE LIMIT APPLIES PEA GENERAL AGGREGAiE s2.00a,oao
POLICY X� jE� , LOC PRODUC7S COMP�OPAGG E2,OQ6.000
OTHEq S
B AUT01ylOBILEUA8IUTY Y 10162524CA 112712023 1l2712024 ��`'�B��EDSINGLELIMtT S1,OOQ.OUO
-� Ea acadenl
— --- _
X AMY AUTQ BODILY IivJURY Per person� 5
OWUED SCNEUULED
AUTOS ONLY AUTOS BORILV IN,IURY Per aaadenl4 S _
x HIRED x NONOWNEO PROPERTYf7AMAGE a
AUTOS ONLY AUTOS ONLY Per acade; i _
S
UMBRfLI.A I.IAB OCCUR EAGH OCCURRENCE S
EXCESS UAB CLAIAAS•MADE AGGREGATE S
DEO RETENTIONS E
A WORKERSCQMPENSATIOH 4146867 61112023 611l2024 X gTATUTE FRH
ATI� �MPLOVERS' LIABILITY Y 1 N
ANYPRRPRIETOWPARTNCFt1EXECU7IVE �I �,A E.L. EACH ACCIOENT � 1,00�,000
OFFICERrMEMBEREXCLUDED?
(Rlendafory In NH) u E L. DfSEASE EA EMPLOYFE j 1,000,000
II yas, describe under �
UESCRIPTIUN 01= OPERATIONS bebw E.L. OISEASE POL'CV LIMiT E 1.00O,DOD
B Leased and Rented Hquipment 10162523CP 1127/2023 1127f2024 Limrt 115,Q00
Speaal FoirtUACV180°� Cansurance Dedud�ble 1.00D
DEBCRIPTION OF OPERATIONS � LOCATIONS / YEHICLES (ACORD tOt, Addillanai Remarlca Scheduie, may be atleched It more space Is requtred)
City of Fort Collins, its officers, agents and employees and Colorado Department of Transpo�taUon are included as additional insured for ongoing operations on
the General Liability a�d included as addiGonal insured on the Auto Liability wiih respect to operations of the named insured for the certihcate holder as required
by wntten contract. General Liability coverage is primary and non-contributory.
CERTIFICATE HOLDER
ELLA
SHQULO ANY OF THE ABOVE DESCRIBED POLICIES eE CANCELLED BEFpRE
THE EXPIRATIOr1 bATE THEREOF, NOTICE WILL BE DEIIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Fott Collins
215 North Mason Street
Fort Coflins CO 80524
AGORD 25 (2016/03j
AUShi01iIZEU AEPRESENTATIYE
�LL'wiM�+1
�.�1
� 1988•2015 ACORD CORPORATION. A11 rights reserved.
The ACORD name and logo are registered marks oi ACORD
157: 2 ' o(