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HomeMy WebLinkAboutPaleoWest, LLC - Insurance Certificate Ago CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10k� 12/19/20. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR 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 endorsement(s). PRODUCER NME A : Kendylle Uda kee RBN&Associates, Inc. Arc N 303 E Wacker Dr PacNN .Exit:312-801--8081 o,312-856-9425F4X Suite 650 AIL ADDRESS: kudavkee@rbninsurance.com _ Chicago IL 60601 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Trumbull Insurance Company 27120 INSURED PALELLC-01 INSURER B:Hartford Casualty Insurance CO 29424 PaleoWest, LLC dba Chronicle Heritage 2025 N 3rd Street,Suite 157 INSURER C:Landmark American Ins Co. 33138 Phoenix AZ 85004 INSURER D:Hartford Fire Insurance Co. 19682 INSURER E: Hartford Ins.Co.of ILL 38288 INSURER F: COVERAGES CERTIFICATE NUMBER:1722130048 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICYNUMBER MM/DD MMIDD LIMITS D X COMMERCIAL GENERAL LIABILITY Y 83UENAY6WKX 12/30/2024 12/30/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO—RENTED PREMISES(Ea occurrence) $1,000,000 MED EXP(Anyone person) $10,000 ._. PERSONAL&ADV INJURY $1,000.000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X PRO- POLICY X JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 i OTHER: A AUTOMOBILE LIABILITY Y 83UENBH2Y31 12/30,'2024 12/30/2025 Ee aB CMINED LIMIT $1,000,000 Ix ANY AUTO BODILY INJURY(Per person) $ OWNED r SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ i I $ B X UMBRELLA LIAB X OCCUR 83RHUBAOOXT 12/30/2024 12/30/2025 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$ $ E WORKERS COMPENSATION 83WEAMlAZL 12/30/2024 12/30/2025 X S AND EMPLOYERS'LIABILITY Y/N TATUTE ERH ANYPROPRI ETOR/PARTNER/EXECUTI VE OFFICER/MEMBEREXCLUE N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under —__ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Professional E&O/ LHC863464 12/30/2024 12/30/2025 Per Claim/Aggregate 5,000,000 Pollution Liability Deductible 25,000 DESCRIPTION OF OPERATIONS r LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Fort Collins is listed as an Additional Insured with respect to General Liability and Auto Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason Street,2nd Floor PO Box 580 AUTHORIZED REPRESENTATIVE s Fort Collins CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD