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HomeMy WebLinkAboutThe Jamar Company - Insurance Certificate 2024 Page 1 of 2 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VYYY) FINSURED IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C13/2024 ERTIFICATE HOLDER. THIS RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(fes)must have ADDITIONAL INSURED provisions or be endorsed. IfUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CER s Towera Watson Midwest, Inc. ONTA T NAME: WTW Certificate Center 6 Century Blvd PHONE -- ox 305191 1-877-945-7378 A EMAIL A/C No: 1-888-467-2378 lle, TN 372305191 uSA A RESS: certificates@wtwco.com INSURERS AFFORDING COVERAGE INSURERA: Zurich American Insurance Company NAIC# D 16535 ma ikeamar CompanyINSURERS: AXIS Surplus Insurance Compareike Colalillo Drive Y i 26620 Duluth, MN 55907 INSURER C: ---'t- i INSURER 0: - INSURER E: COVERAGES INsuRERF: --- -- ------ CERTIFICATE NUMBER:W36631703 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDENAISION M D ABOVE FOR OR THE POLICY PERIOD ICERTIFICATE MAY BE ISSUED OR MAY NDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, III OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_. LTR XCLUSIONSTANE CONDITIONS C - AODL-SaW POLICY NUMBER AAIO ppryYYY MM�DYYYYY — X COMMERCIAL GENERAL LIABILITY LIMITS _T I CLAIMS-MADE X I OCCUR EACH OCCURRENCE I$ 2,000,000 A X i Contractual Liability PREMISES a ocq rrence�_ $ 2,000,000 Y GLO 8902940-05 12/31/2024 12/31/2025 MED EXP(Any one person) $ 10,000 GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ 2,000,000 POLICY j X JEC L___j LOC GENERAL AGGREGATE $ 4,000,000 ------- AUTOMOBILE LIABILITY --- OTHER: PRODUCTS-COMP/OP AGG $ 41000,000 $ X ANY AUTO COMBINED SINGLE LIMIT a accldenlL__ $ 5,000,000 A OWNED SC HE 1EDULED Y BODILY INJURY(Per person) $ AUTOS ONLY AUTOS BAP 8488453-05 12/31/2024 12/31/2025 HIRED X NON-OWNED BODILY INJURY(per accident) $ X!AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE f-Per accident)- - —-- $-- - .. B UMBRELLA LIAB X OCCUR Is X EXCESS LI AB CLAIMS-MADE P-001-000068228-07 EACH OCCURRENCE $ 5,000,000 �� -- 12/31/2024I12/31/2025 DED RETENTION$ (AGGREGATE J$ 5,000,000 WORKERS COMPENSATION --AND EMPLOYERS'LIABILITY I$ A 'AN VPROPRIETOWPARTNER/EXECUTIVE Y/N P i O H- OFFICERWEMBEREXCLUDED? No x! STATUTE ! ER (Mandatory In NH) N A WC 8902941-05 E.L.EACH ACCIDENT $ 5,000,000 ff es,describe under 12/31/2024 12/31/2025 - I -E.L.DISEASE-EA EMPLOYEEI$ D SCRIPTION OF OPERATIONS bebw - _ 5,000,D00 A !Installation Floater E.L.DISEASE-POLICY LIMIT $ 5,000,oo0 MBR 0084170-09 05/01/2024 05/01/20251Limit $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) i SEE ATTACHED L____ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LC'ty of Fort Collins AUTHVR14tV REPRESENTATIVE 0. Box 580 Collins, CO 80521 l�"1~ sly ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORDORD CORPORATION. All rights reserved. sn ID: 26878230 9ATCH: 3741888 AGENCY CUSTOMER ID: LOC#: AC R® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 NAMED INSURED AGENCY The Jamar Company 4701 Mike Colalillo Drive Willis Toward Watson Midwest, Inc- Duluth, NN 55807 POLICY NUMBER See Page 1 NAIC CODE CARRIER See Page 1 EFFECTIVE DATE:See Page 1 See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, 25 FORM TITLE: Certificate of Liability Insurance y y Policies FORM NUMBER: _____-- City of Fort Collins is included as Additional insured urnider the General riorLtobthetlossa Automobile Liability p when required by written contract, agreement or permit NAICN: 16535 INSURER AFFORDING COVERAGE: Zurich American Insurance Company POLICY NUMBER: CPP 0084169 - 09 EFF DATE: 05/01/2024 EXP DATE: 05/01/2025 LIMIT AMOUNT: TYPE OFF LIMIT DESCRIPTION: $1,000,000 Leased/Rented Equipment Any One Item/Per Occ Sea Below Deductible ADDITIONAL REMARKS: $10,000 Per Occurrence < $250,000 item value; $50,000 per Occurrence > $250,00 Leased/Ranted Equipment Deductible: item value; $50,000 for Theft. ------------- ®2008 ACORD CORPORATION. All rights reserved. ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD SR ID: 26878230 BATCH:3741888 CERT: W36631703 11208: 2