HomeMy WebLinkAboutKobobel Fire Protection LLC - Insurance Certificate (5)A�� � DATE(MM/OD/VVYY)
�- CERTIFICATE OF LIABILITY INSURANCE o„02,2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIOHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AFFIRMATIVELY OR NEOATIVELY AMEND, EXTEND OR ALTER THE COVERAOE AFFORDED BY THE POLJCIES BELOW. THIS CERTIFICATE OF
INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUINO INSURER(S), AUTHORI2ED REPRESENTATIVE OR PRODUCER, AND THE
CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pdicy(ies) must have ADDITIONAL INSURED provisions or 6e endorsed. If
SU9ROOA710N IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statemerrt on this
certi(icate does not confer rights to tha certilicate hdder in lieu of such endorsement(s).
PRODUCER
FEDERATED MUTUALINSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
OWATONNA, MN 55060
INSURED
KOBOBEL FIRE PROTECTION, LLC
2329 E MULBERRY ST
FORT COLLINS, CO 805243919
r�inME �T CLIENT CONTACT CENTER
PHONE
1A/c, No, extl: 888333-4949
INSURERS AFFORDING COVERAGE
iNsuReR n:FEDERATED RESERVE INSURANCE COMPANY
443-29&5 INSURER B:
INSl1RER C:
INSURER O:
INSURER E:
INSURER F:
16024
COVERAGES CERTIFICATE NUMBER: 39 REVISION NUMBER: 0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A�� THE TERMS, EXCLUSIONS AND CONDITIONS OF
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TVPE OF INSURPNCE �DL SUBR pOLICY NUMBER POLICY EFF � POLJCY EXP UMITS
X COMMERCIAL GENERAL LJABILITY I II EACH OCCURRENCE $"I�OOO,OOO
CLAIMS�MADE ❑X OCCUR DAMAGE TO RENTED PREMISES $'IOO,OOO
MED EXP (My one penon) $5,000
A Y N 1899603 07/01/2024 07/01/2025 pERSONAL & PDV INJl1RV 1 000 000
CENl AGGREGA7E LIMI7 APPLIES PER: GENERAL AGGREGATE 2 OOO OOO
X POLICY �jE�a ❑ LOC PRODUCTS & COMPIOP AGG $Z,OOO,OOO
OTHER:
AUTOMOBILE LIABILITY COMBINED SINOLE LJMIT $'I�000�000
Ea acciden
%� ANYAUTO BODILV INJURV (Pe� Person)
A C`NNEDAUTOSON�Y AUTOE$�ULrD N N �$996�3 07/��/2�2¢ 07/01/2025 BODILY INJURV (Par AccidenQ
HIRED AUTOS O�LY NON-ONNED PROPERTY DAMAGE
AUT0.S ONLY
%� UMBRELLA LIAB X pCCUR EACH OCCURRENCE $2,000,000
A EXCESSLIAB CLAIMS�fADE N N 1899605 07/01/2024 ' 07/01l2025 AGGREGATE $P,OOO,OOO
DED RETENTICN
IWORKERS COMPENSATION
��AND EMPLOYERS' LIABILITV y�N X PER STATUTE OTHER
�ANV PROPRIETOR/PARTNER/ EXECUTIVE E.L EACH ACCIDENT $'I,OOO,OOO
A�OFFlCER/MEMBERE%CIUDED7 NIA N 1899604 O7IO'I/ZO2�i OTIO�IZOZS
�Mentlafory In NH) E.L DISEASE fA EMPLOVEE $i�OOO�OOO
If yes, tlescrlDe uider $�,0�0,000
DESCRIPTION OF OPERATIONS helow E.L DISEASE � POLICY LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aHached if more space is requiredl
CERTIFICATE HOLDER CANCELLATION
443-298-5
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS, CO 80522-0580
39 0 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE ////•.�/�f /� � V'__' `
� �l 'I/ 1/
� sii1,.
� 1988•2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2076/03) The ACORD name and logo are registered marks of ACORD