HomeMy WebLinkAboutCustom Lighted Signs, LLC - Insurance Certificate��R�� CERTIFICATE OF LIABILITY INSURANCE
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DATE (MMIDD/YYYY)
7/11 /2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsementlsl.
PRODUCER
Higginbotham Insurance Agency, Inc.
225 Union Blvd, Ste 575
Lakewood CO 80228
INSURED
Custom Lighted Signs, LLC
3931 Holly St. Suite B
Denver CO 80207
Nate Lovekamp
�ti: 720-920-0930
N Lovekamp@higginbotha m.net
INSURER(SI AFFORDING COVERAGE
LIGHBUS-0� INSURER B :
INSURER C :
NAIC #
21415
COVERAGES CERTIFICATE NUMBER:2001783877 REVISION NUMBER:
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 ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS
A X COMMERCIALGENERALLIABILITY BBB7026 7/11/2024 7/11/2025 EACHOCCURRENCE 51,000,000
CLAIMS-MADE � OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence S 500,000
MED EXP (Any one person) S 10,000
PERSONAL & ADV INJURY S 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
POLICY a ECT � LOC PRODUCTS - COMPlOP AGG S 2,000,000
OTHER: S
A AUTOMOBILELIABILITY 6E65954 7/11/2024 7/11l2025 COMBINEDSINGLELIMIT 51,000,000
Ea accident
X ANY AUTO BODILY INJURY (Per person) S
OWNED SCHEDULED BODILY INJURY Per accident 5
AUTOS ONLY AUTOS � )
X HIRED X NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY Per acGitlent S
5
%+ X UMBRELLALIAB X OCCUR 6J65954 7l11/2024 7/11/2025 EACHOCCURRENCE 52,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE S
DED RETENTION 5 g
WORKERSCOMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY Y� N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 5
OFFICER/MEMBEREXCLUDED? ❑ N � A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE 5
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schetlule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
City of Fort Collins
281 N. College Ave.
Fort Collins CO 80524
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZEDR PRESENTATIVE
(
O 1988-2015 ACORD CORPORATION. All rights reserved.
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