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HomeMy WebLinkAboutKansas City Kitty LLC - Insurance Certificate .raco CERTIFICATE OF LIABILITY INSURANCE D 05/03/20 5YY) 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(8), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed, If$1,151100ATIONI8 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 - NUTMEG INS AGENCY INC/PHS FAz 76210781 PHONE (888)925-3137 The Hartford Business Service Center (ac,No,Ext): (A/C.No): 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURERS)AFFORDING COVERAGE NAICN INSURFO INSURER A: Hartford Underwriters Insurance Company_ 30104 KANSAS CITY KITTY LLC INSURER B: 136 N COLLEGE AVE INSURER C FORT COLLINS CO 80524-2451 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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, INS TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 I: CLAIMS-MADE1XIOCCUR DAMAGE TORENTE $1,000.000 X General Liability MED EXP(Any one person) $10,000 A 76SBWBG5DET 06/01/2026 06/01/2026 PERSONAL aADVINJURY— $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑PRO- ❑LOC PRODUCTS•COMP/OP AGO $2,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Par accident) HIRED NON-OWNED P110130TV-Dw9var AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCE88 LIAR CLAIMS-MADE AGGREGATE ED RETENTION$ WORKERS COMPENSATION P OTH- AND EMPLOYERS'LIABILITY ANY YIN E.L.EACH ACCIDENT PROPRIETOPJPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L.DISEASE-EA EMPLOYEE (Mandatory in NH) If yes.describe under E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS w A Employment Practices Liability Each Claim Limit $26,000 76,( OB/01/2028 BG5DET OB/01/2026 Insurance I Annual Aggregate Limit $25,000 DESCRIPTION OF OPERA77ONS i LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Those usual to the Insured's Operations, CERTIFICATE HOLDER CAMELLATIQN CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ATTN:ENGINEERING DEPT BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 281 N COLLEGE AVE IN ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS CO 80524 AUTHORIZED REPRESENTATIVE 01988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE D 05/03/20 sue) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed, If SUBROGATIONI8 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 Ilsu of such endorsement(s). PRODUCER CONTACT - - --— - - N NORTHEAST AGENCIES INC/PHSME 01214608 PHONE (866)467-8730 - __- FAX The Hartford Business Service Center (ac,No,Ext): IA/C.No): g 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURER(B)AFFORDING COVERAGE NAICM INSURED INSURER A: Twin City Fire Insurance Company 29459 KANSAS CITY KITTY LLC INSURER 8: 136 N COLLEGE AVE FORT COLLINS CO 80524-2451 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. INS TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE❑OCCUR DAMAGE TO RENTED i:!I _ I MED EXP(Any one person) j Iq. PERSONAL tt,ADV INJURY h1,j GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY❑PRO- ❑LOC PRODUCTS-COMPIOP AGG JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Q accident) ANY AUTO BODILY INJURY(Par person) ALL OWNED SCHEDULED - - AUTOS AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED R -- - AUTOS AUTOS (Per accident) FOCCUR - - UMBRELIA LIAR EACH OCCURRENCE EXCESS LIAB CLAIMS- - MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION X PER OT - AND EMPLOYERS'LIABILITY ANY YIN E.L.EACH ACCIDENT $500,000 A PROPRIETORIPARTNEPJEXECUTIVE NIA 01 WEC VK6663 02/10/2025 02/10/2026 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OPERATIONS DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Those usual to the Insured's Operations, CERTIFICATE HOLDER GANOLLATI N CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 09 CANCELLED ATTN:ENGINEERING DEPT BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 281 N COLLEGE AVE IN ACCORDANCE WITH THE POLICY PROVISIONS. FORT COLLINS CO 80524 AUTHORIZED REPRESENTATIVE 01988.2015 ACORD CORPORATION.All rights rose ad. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD