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Home My WebLink AboutGROWLING BEAR - INSURANCE CERTIFICATE (3)AC ORD CERTIFICATE OF LIABILITY INSURANCE OP ID R DATE(MM/DD/YYYY) GROWL-3 07 25 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agency-FC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1614 Oakridge Drive Unit A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 Phone:970-229-9304 Fax:970-229-1398 INSURED Growling Bear Co., Inc. 2330 4th Ave. Greeley CO 80631 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Employers Mutual INSURER B: Pinnacol Assurance INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DD/VY EFFECTIVE PO MM DD I N LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR X Blanket Add r 1 OD96522 07/31/06 07/31/07 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurence) $ 100,000 MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $ 1 , OOO , 00 0 X Blkt Waiver GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY X PROJECT LOC PRODUCTS - COMP/OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 0996522 CITY 06 Irg JUL 2 7 07/31/07 006 COMBINED SINGLE LIMIT (Ea accident)ALL $1, 000, 000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO RISK MANAGEMENT T AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG s It A EXCESSIUMBRELLA LIABILITY X OCCUR F-ICLAIMSMADE DEDUCTIBLE RETENTION $ OJ96522 07/31/06 07/31/07 EACH OCCURRENCE s 2 , 000 , 000 AGGREGATE s2,000,000 It It $ B WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 1436910 07/01/06 07/01/07 wc - - X TORY LIMITS I I ER E.L. EACH ACCIDENT s500,000 E.L. DISEASE - EA EMPLOYEE $ 500 , 000 E.L. DISEASE - POLICY LIMIT 1 It 500 , 000 A OTHER Installation Floater OC96522 07/31/06 07/31/07 Any 1 Loc $1,500,000 Ded $500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Lincoln Center HVAC & Roof Repair. Certificate holder is named as additional insured with respects general liability. CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 North Mason REPRESENTATIVES, Fort Collins CO 80525 AU RIZE REPRE G ACORD 25 (2001108) 0 ACCORD CORPORATION 1QRR ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID R DATE(MM/DD/YYYY) GROWL-3 07 25 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agency-FC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1614 Oakridge Drive, Unit A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 Phone:970-229-9304 Fax:970-229-1398 INSURED Growling Bear Co., Inc. 2330 4th Ave. Greeley CO 80631 I:UVtKArjL5 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Employers Mutual INSURER B: Plnnacol Assurance INSURER C: INSURER D: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR X Blanket Add r 1 OD96522 07/31/06 07/31/07 EACH OCCURRENCE $ 1 , OOO , 000 PREMISES (Ea occurenw) $ 100,000 MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $ 1 , 000 , 000 X Blkt Waiver GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC JECT PRODUCTS - COMP/OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS OE96522/07 CITY JUL ,,, 22� L. �f F f OR C LINS COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERT (Per accident)AMAGE $ GARAGE LIABILI ANY AUTO rdill AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLA LIABILITY X I OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ OJ96522 07/31/06 07/31/07 EACH OCCURRENCE s2,000,000_ AGGREGATE s2,000,000 E E $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 1436910 07 /01 /06 07/01/07 X TORV LIMITS ER E.L. EACH ACCIDENT s500,000 E.L. DISEASE - EA EMPLOYEE E 500 , OOO E.L. DISEASE -POLICY LIMIT $500000 A OTHER Installation Floater OC96522 07/31/06 07/31/07 Any 1 Loc $1,500,000 Ded $500 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ALL Operations - All Locations CITYFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 North Mason REPRESENTATIVES. Fort Collins CO 80525 AU RD:E REPRES T G 25 (2001/08) Z ACOR❑ CORPORATION IQRR