HomeMy WebLinkAboutJag's Enterprises, Inc. - Insurance Certificate 2025,cdAD'
COVERAGES
CERTIFICATE OF L]ABILITY lNSURANCE
CEHTIFICATE NUMBER: 628962899 REVISION NUMBER:
oATE (l,rl/OO/yYYY)
3117 EO25
THIS CEBTIFICATE IS ISSUED AS A MATTEB OF INFORMATION ONLY AND CONFEHS NO RIGHTS UPON THE CEBTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AUEND, EXTEND OR ALTEB THE COVERAGE AFFOROED BY THE POLICIES
BELOW, THIS CEBTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPFESENTATIVE OR PFODUCEB, AND THE CEBTIFICATE HOLOEB.
IMPOFTANT: ll the certiticEte holder ls an ADOITIONAL INSUREO, the policy(ies) must have ADDITIONAL INSUBEO provisions or be endorsed.
lf SUBROGATION lS WAIVED, sublect to the terms and condillons ot the pollcy, certaln pollcles
'tlay
requlre an endorsemenl. A slatement on
thls cerllrlcate does not conter rlghts to the certlticate holder in lleu of such endorsement(s).
PaooucEa
CRS lnsurance Brokeraoe
9780 S l/]eridian Blvd S;ite 400
Englev/ood CO 80112
Katre Smothers
303-996-7800 303-7 57 -77 19
lsmotheas@clsdenver-com
INSUJER€)AFEOEqI!G COJEFAGE . !!4E!
41 190I!{SUFEF A: Pinnacol Assurance
rNsuREo
Jag's Enterprises, Inc
7951 W 28th S$eet
Greeley CO 80634
JAGSE.l NsuaEn B r Stato Auto lnsurance-qonlP-eqgg _
lt{SiUFEF C r
11017
INSUREA O
I'ISUREF E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
TNDTCATED NoTWTTHSTANDING aNy REourAEr,,rENT. TERM oB coND TroN oF ANy CONTRACT oB oTHER Docu[,,tENT wlrH HESPECT ro wHlcH THrs
CERTIFICATE MAY BE ISSUED OF MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED I-]EREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LI]\,4IIS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
Lll/llsTYPE OF INS UFAIIC E POlICY NUMB€R
INSF
10162523CP $ 1.000.000
X
s
occua
PFODUCIS COIIP OP AGG
TH
Epq.0!q
I s5.ooo
i r 1.ooo.ooo
I r.logo ooo
lsz.ooo.ooo
X coM M€FctA I GEN EBAL LriBrLrrY
PEASONAL & ADV INJUFY
GENERAL AGGFEGATE
-LFE!USEq(E qgs{lqE9l
- MEolllt4lr qut9!!9!)
1127D025 1/272026 EACHc,ccUBRENcE-IAM6FTOFEN]-EO
GEN'L AGGAEGATE LIMIT APPLIES PEB
_ eoLrcv -x !!$ - rcc
B
3
l$t-.il
51.000.000
EOOILY r!'!UFY lPer acadenr j
s
1n712025 1t27DO26 I t!s@4L.AUIO'/iOBILE UAB IUTY
EOOILY ll'{UFY [Pe. p€rson)
X
Y SCHEOULEO.' AUIOSY NON OWNED..'AUIOSONLY PAOPENIY DAI,IAGE
X ANY AUTO
AUTOSq!LY
HIFED
AUTOSON!Y
UMBFELLALIAB
OEO RETENTIONS
OCCUR
CLA]MS,MADE
EACIIOCCUBBENCE
AGGFEGAIE
WOAKEAS COI'PEIISAIOT
AND EUPLOYEBS' LNAIUTY
AAIYPBOPFIETOB'PARTAIEREXECUTIVE
OFFICERMEi!9EFEXCLUDEO?( adalory ln H)
YlN
t1000,000
4686 7 6t1t2oz4 6nDa25 X
E L EACH ACCIO€NT
ATIONS
sT4IltTE
E L DISEASE EA EMPIOYEE, $ 1 OOO.OOO
E L DTSEASE POL CY lrM r S 1.000.000
OTH.I rEF
LeEed and Femed EqlrpmenrSped Fo[IYACV/8o% Co0Eur.nc.10162523CPB 1t27DO25 1t27 t2026 115.000
I 1.000
OESCnlm(,N OF oPEFAllOrtl / LOCAnOtlS / VENICLES (ACORD lO1, A.lc[tlon l Renr.lr! SclEdure. m.y b..tleh.d il more.Fco li r.qutsd)
City of Fort Collins, its officers. agenG and employces and Colorado Dopartrnent of Transportation are included as additonal insurBd for ongoing operatons on
the General Liability and included as additional insured on the Auto Llability wth respect to operations of the n6med insured for the certificate holder as required
by written contract General Liability coverage is pnmary and non-contributory.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAI{CELLED AEFORETXE EXPIFATION DATE IHEREOF, NOTICE WLL BE DELIV€BEO IN
ACCORDANCE I$TH THE POLICY PPOVISIONS.City of Fort Collins
281 North Colleoe
Fort ColIns COlO524 tl 6l,uL'
AUTHOFIZEO FEPFESEIITATIVE
FPORATION. Att righls reserved.ACORD 2s (2016/03)
o 1988-2015 ACORD CO
The ACOFO name and togo are reglsterod marks ol ACORD
10162524CA
t
it;
25351 2 ' of2