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Home My WebLink About357006 ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATE (5),d► �® CERTIFICATE OF LIABILITY INSURANCE DATE YI 03-30.20Y11 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR 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 be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditionsof the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LEID FINANCIAL GROUP INC/PHS NAME: IA/CNN. E.U: (866) 467-8730 (AIC,No): (877) 905-045 342560 P:(866)467-8730 F:(877)905-045, PO BOX 33015 ADURESS: SAN ANTONIO TX 78265 CUSTOMERID4: INSURER(S) AFFORDING COVERAGE NAIC M INSURED �C� U6� INSURER A: Hartford Casualty Ins CO — INSURER a: LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW 215 E 2ND ST INSURER C : LOVELAND CO 80537 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. LTR TYPE OF INSURANCE INSR MID POLICY NUMBER POLICY EFF (MMIDD/YYYYI F�UCY UP (MMIDD/YYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE U OCCUR X General Liab X 34 SBA PE5367 05/26/2011 05/2 6/2 012 EACH OCCURRENCE I4 1, OOO, OOO PREMISES IEe oc rrencel 1 e 300, OOO MED EXP (Any one`Personl $ 10, 000 PERSONAL & ADV INJURY $1,000,000 I GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATELIMIT APPLIES PER: II POLICY aIJECT Ly�PRO " LOC $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) I $ BODILY INJURY (Per nccidentl 4 PROPERTY DAMAGE IPer accident) S 4 4 UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS MADE EACH OCCURRENCE 4 AGGREGATE $ DEDUCTIBLE RETENTION S $ S WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE- OFFICER/MEMBER EXCLUDED? (Mandatory In NHI If y DESCRIPdncribe under TION OF OPERATIONS below I ,(/A WC STATU- OTM TORY LIMIT$ ER E.L. EACH ACCIDENT S I E.L. DISEASE - EA EMPLOYEFI 9 E.L. DISEASE POLICY LIMIT 14 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Addltlonel RemerNa Schetluls. If more e0eca le reaulredl Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED The City of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Purchasing Dept DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEQ UPRESENTATIVE PO BOX 580 FORT COLLINS, CO 80522 e 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 12009109) The ACORD name and logo are registered marks of ACORD ,d► �® CERTIFICATE OF LIABILITY INSURANCE DATE YI 03-30.20Y11 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELYOR 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 be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditionsof the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LEID FINANCIAL GROUP INC/PHS NAME: IA/CNN. E.U: (866) 467-8730 (AIC,No): (877) 905-045 342560 P:(866)467-8730 F:(877)905-045, PO BOX 33015 ADURESS: SAN ANTONIO TX 78265 CUSTOMERID4: INSURER(S) AFFORDING COVERAGE NAIC M INSURED �C� U6� INSURER A: Hartford Casualty Ins CO — INSURER a: LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW 215 E 2ND ST INSURER C : LOVELAND CO 80537 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. LTR TYPE OF INSURANCE INSR MID POLICY NUMBER POLICY EFF (MMIDD/YYYYI F�UCY UP (MMIDD/YYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE U OCCUR X General Liab X 34 SBA PE5367 05/26/2011 05/2 6/2 012 EACH OCCURRENCE I4 1, OOO, OOO PREMISES IEe oc rrencel 1 e 300, OOO MED EXP (Any one`Personl $ 10, 000 PERSONAL & ADV INJURY $1,000,000 I GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATELIMIT APPLIES PER: II POLICY aIJECT Ly�PRO " LOC $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) I $ BODILY INJURY (Per nccidentl 4 PROPERTY DAMAGE IPer accident) S 4 4 UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS MADE EACH OCCURRENCE 4 AGGREGATE $ DEDUCTIBLE RETENTION S $ S WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE- OFFICER/MEMBER EXCLUDED? (Mandatory In NHI If y DESCRIPdncribe under TION OF OPERATIONS below I ,(/A WC STATU- OTM TORY LIMIT$ ER E.L. EACH ACCIDENT S I E.L. DISEASE - EA EMPLOYEFI 9 E.L. DISEASE POLICY LIMIT 14 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101. Addltlonel RemerNa Schetluls. If more e0eca le reaulredl Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED The City of Fort Collins BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Purchasing Dept DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEQ UPRESENTATIVE PO BOX 580 FORT COLLINS, CO 80522 e 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 12009109) The ACORD name and logo are registered marks of ACORD T ® ACCOR CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYYI 03-30-2011 THIS CERTIFICATEIS 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 be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LEID FINANCIAL GROUP INC/PHS NAME: _ AICNNo bl) (866) 467-8730 IAIC.NcI: (877) 905-045 342560 P:(866)467-8730 F:(877)905-0457 PO BOX 33015 PRODUCE SAN ANTONIO TX 78265 CUSTOMER ID a: INSURER(S) AFFORDING COVERAGE NAIC IfINSURED INSURER A: Hartford Casualtv T n SCO INSURER B: LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW 215 E 2ND ST INSURER C LOVELAND CO 80537 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. INSR LTR TYPE OF INSURANCE rN`,`RrWUVBD1 POLICY NUMBER I (MMIDDIYY'YY) I IMMIDDIYYYYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE I X I OCCUR tXGeneralLiab X 34 SBA PE5367 05/26/201105/26/2012IPERSONAL&ADVINJURY EACH OCCURRENCE $ 1, 000,000 PREMISES IEe occurrence) $ 300,000 MED EXP (Any ore carton) $ 10,000 s1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY L- PRO- u LOC PRODUCTS - COMP/OP AGG 9 2,000,000 9 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT E. accident) $ BODILY INJURY (Per person) 4 BODILY INJURY (Per accident) 5 PROPERTY DAMAGE (Per ecodim I 5 I $ IB UMBRELLA LIAB U OCCUR EXCESS LIAB CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION 1i $ : WORKERS COMPENSATION AND EMPLOYERSLIABILITY YIN ANY PROPRIETORiPARTNER(EXECUTIVEI OFFICER/MEMBER EXCLUDED? u (Mandatory In NH)) 11 yes, describe under DESCRIPTION OF OPERATIONS below NIA I WC STATU- OTH TORY LIMITS ER E.L EACHACCI DENT $ E.L. DISEASE EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT�i S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addlllonel Remarks Schedule, it more apace Is required) Those usual to the Insured's Operations. City of Fort Collins are Additional Insured per the Business Liability Coverage Form SS0008. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE City of Fort Collins DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED UPRESENTATIVE ^� 7 ,,:7_,-Z-- 215 N MASON ST FORT COLLINS, CO 80524 c' 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD T ® ACCOR CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYYI 03-30-2011 THIS CERTIFICATEIS 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 be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LEID FINANCIAL GROUP INC/PHS NAME: _ AICNNo bl) (866) 467-8730 IAIC.NcI: (877) 905-045 342560 P:(866)467-8730 F:(877)905-0457 PO BOX 33015 PRODUCE SAN ANTONIO TX 78265 CUSTOMER ID a: INSURER(S) AFFORDING COVERAGE NAIC IfINSURED INSURER A: Hartford Casualtv T n SCO INSURER B: LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW 215 E 2ND ST INSURER C LOVELAND CO 80537 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. INSR LTR TYPE OF INSURANCE rN`,`RrWUVBD1 POLICY NUMBER I (MMIDDIYY'YY) I IMMIDDIYYYYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE I X I OCCUR tXGeneralLiab X 34 SBA PE5367 05/26/201105/26/2012IPERSONAL&ADVINJURY EACH OCCURRENCE $ 1, 000,000 PREMISES IEe occurrence) $ 300,000 MED EXP (Any ore carton) $ 10,000 s1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY L- PRO- u LOC PRODUCTS - COMP/OP AGG 9 2,000,000 9 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT E. accident) $ BODILY INJURY (Per person) 4 BODILY INJURY (Per accident) 5 PROPERTY DAMAGE (Per ecodim I 5 I $ IB UMBRELLA LIAB U OCCUR EXCESS LIAB CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION 1i $ : WORKERS COMPENSATION AND EMPLOYERSLIABILITY YIN ANY PROPRIETORiPARTNER(EXECUTIVEI OFFICER/MEMBER EXCLUDED? u (Mandatory In NH)) 11 yes, describe under DESCRIPTION OF OPERATIONS below NIA I WC STATU- OTH TORY LIMITS ER E.L EACHACCI DENT $ E.L. DISEASE EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT�i S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addlllonel Remarks Schedule, it more apace Is required) Those usual to the Insured's Operations. City of Fort Collins are Additional Insured per the Business Liability Coverage Form SS0008. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE City of Fort Collins DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED UPRESENTATIVE ^� 7 ,,:7_,-Z-- 215 N MASON ST FORT COLLINS, CO 80524 c' 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD