HomeMy WebLinkAboutA and A Quality Appliance Inc - Insurance Certificate 2025-2026 '4� 03/06/2025 CERTIFICATE OF LIABILITY INSURANCE DATEIMM/ YI
025
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 endorsement(s).
PRODUCER CONTACT
NAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY FAX
HOME OFFICE:P.O.BOX 328 (AIC,No,EXt):888-333-4949 IA/c.No):507-446-4664
OWATONNA,MN$5060 AIL
auoaesS:CLIENTCONTACTCENTER®FEDINS.COM
-- INSURERS AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED INSURER B:
A AND A QUALITY APPLIANCE INC INSURER c:
321 W 84TH AVE
THORNTON,CO 80260-4814 INSURER D:
INSURER E: -
INSURER F:
COVERAGES CERTIFICATE NUMBER:803 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 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 INSR WVD PODGY NUMBER MMIDDIYVYV MMIDDIYYYV LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,0()0
CLAIMS-MADE OCCUR - _ AMAGE TO RENTED PREMISES $100,000
- - Ea omrrenoe -
MED EXP(Any one person) $10,000
A N N 1892413 04/01/2025 04/01/2026 PERSONAL&ADV INJURY $1,000,000
OENL AGGREGAITEE LIMIT APPLIES PER: _ - GENERAL AGGREGATE $2 000 000
X POLICY I- CENT ❑LOG
—IP' PRODUCTS&COMP/OP ACC $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) - $1,000,000 -
JANYAUTO BODILY INJURY(Per Person)
AOWNED AUTOS ONLY SCHAUTOS
ULED N N 1892413 04/01/2025 04/01/2026 BODILY INJURY(Per AccidenQ
HIRED AUTOS ONLY NON-OWNED AUTOS ONLY PROPERTY DAMAGE
-Per Accident
�UMBRELLA LIAR X OCCUR EACH OCCURRENCE $10,000,000
AEXCESS LIAR CLAIMS-MADE N N 1892417 - 04/01/2025 04/01/2026 AGGREGATE $10,000,000
DED I RETENTION - -
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN X PER STATUTE I OTHER
ANY PROPRIETOR/PARTNER/EXECUTIVE-
A OFFICERIMEMBER EXCLUDED? E.L EACH ACCIDENT $1,000,000
(Mandatory In NH) N/A N 1892416 04/Ol/202$ 04/01/2026
If yes,describe ender - E.L DISEASE EA EMPLOYEE $1,000,000
DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT $1,0001000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
CITY OF FORT COLLINS
424 W MULBERRY ST 803 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
FORT COLLINS,CO 80521 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE/ n
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