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HomeMy WebLinkAbout335264 AQUACRAFT INC - INSURANCE CERTIFICATE (3)DATE (MM/DD/YYYY) A OOR" CERTIFICATE OF LIABILITY INSURANCE 8/24/2010 PRODUCER (303) 442-1484 FAX: (303) 442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Taggart & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1600 Canyon Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 147 Boulder CO 80306 INSURED Aquacraft, Inc. 2709 Pine Street Boulders CO 80302 INSURERS AFFORDING COVERAGE NAIC # _ INSURER A: Hartford Fire Insurance Co 19682 INSURER B: Hartford Underwriters Ins CO 30104 INSURER c: Victor O. Schinnerer 0194 INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTAN DING 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. INSR LTR ADD'L INSRD1 TYPE OF INSURANCEPOLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES {Ea occurrence)_ $ 300,000 MED EXP (Any one person) $ 101000 A CLAIMSMADE OCCUR 34SBAEP3205 8/23/2010 8/23/2011 PERSONAL&ADV INJURY $ _2, 000, 000 GENERAL AGGREGATE _$ 4,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 4,000,000 PRO n LOC X POLICY n JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 X BODILY INJURY $ B ALL OWNED AUTOS 34UECIQ6546 8/23/2010 8/23/2011 SCHEDULED AUTOS (Per person) BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ___$ i 1,000,000 OCCUR CLAIMS MADE AGGREGATE $T 11000,000 A DEDUCTIBLE RX 34SBAEP3205 8/23/2010 8/23/2011 $ $ RETENTION $ 10,000. B WORKERS COMPENSATION � AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE a OFFICER/MEMBER EXCLUDED? (MandatoryinNH) 34WECIN4088 � 8/23/2010 8/23/2011 I WC STATU- i OTH-, TOR.Y_LIMI.TS_I_I_ER_' E.L. EACH ACCIDENT E.L. DISEASE - EAEMPLO_YE $ 11000,000 $ 1,000,000 Desdescribe under SPECIAL PROVISIONS below E,L. DISEASE -POLICY LIMIT $ 1,000,000 C OTHERProfessional Liability EH114129734 8/23/2010 8/23/2011 Per Claim $1,000,000 Aggregate $2, 000, 000 10 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured with respect to general liability coverage. CFRTIGIL`ATF Wf l nl=P rANrFI I ATInN (97 0) 221- 67 07 SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Attn: Opal F . Dick NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO Box 580 Fort Collins, CO 85022 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. [AUTHORIZED REPRESENTATIVE �~ Munro, CIC/ABB ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200901) The ACORD name and logo are registered marks of ACORD '4 " CERTIFICATE OF LIABILITY INSURANCE °ATE`MM/°°"YYY' 8/24/2010 PRODUCER (303) 442-1484 FAX: (303) 442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Taggart & Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1600 Canyon Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. BOx '147 _ _ -- Boulder CO 80306 INSURERS AFFORDING COVERAGE NAIC # INSURED Hartford Fire Insurance -Co 19682 . , .�-:. '- IN_SURER_A: _.-.._.. _ Aqudcrafty.•;jnc.. . INSURER 13: Hartf ord Underwriters'_Ins CO 30104— 270;9 Plne-Street.,.._ INSURERC:ViCtOr 0- Schinnerer 0194 r INSURER D: I Boulder CO 80302 INSURERE: COVERAGES 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. INSRADD` INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYYYYI POLICY EXPIRATIONLTR LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR 34SBAEP3205 8/23/2010 - 8/23/2011 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence) $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY n PRO- LOC PRODUCTS - COMP/OP AGG $ 4,000,000 AUTOMOBILE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS -- 34UECIQ6546 8/23/2010 8/23/2011 COMBINED SINGLE LIMIT (Ea accident) .. $ 1, 000, 000 X BODILY INJURY - " (Per person)- _ . .. $-.. -' - (Perr accidenURY - - - - - PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A - EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $-10,0001 34SBAEP3205 8/23/2010 p- 8/23/2011 EACH OCCURRENCE $ 11000,000 AGGREGATE $ 11000,000 $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYY/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below - 34WECIN4088 8/23/2010 8/23/2011 WC STATU- OTH- TORY_1JMITS ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYE $__11000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C OTHER ITBD 8/23/2010 8/23/2011 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured with respect to general liability coverage. CERTIFICATE HOLDER GANGELLAI ION (970) 221-6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins - - DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10� DAYS WRITTEN Attn : Opal F . Dick NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO Box 580 Fort Collins, CO 85022 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE J Munro, CIC/ABB ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200901) The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25.(20.9/01) INS025 (200901) Date: 2/15/2011 Time: 11:11 AM To: Laurie @ 19702216619 Page: 002 ,4c40' CERTIFICATE OF LIABILITY INSURANCE �..,.-�" O/15/2011 ) 2/15/2411 TWIT CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGWTS UPON TWE CERTIFICATE WOLDGR. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDEDBY 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(les) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certifloge does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER CANrAci S@rV1C@ Hartford 9M€� Taggart: & Associates, Inc. ----------_---__ PHONE (303)442-1494 a No:(303)di2-88^>2 E-MAIL 1600 Canyon Boulevard P_ o. Bor. 147 Boulder CO 80306 INSURE S AFFORDING COVERAGE NAICd INSURED INVURiRA!HartfY)T'Ct.1t'7-PR Tnauranra Co M68L2 INS_URERe.aa_rt:ford Underwriters Ins Co 3o1D4 Aquacraft, Inc. INSURERCViCtor O. Schinnerer v 0194 2.709 Pine Street INSURERD: Boulder CO 80302 INSURER E INSURER F: ULJVI^MAUtS CERr1FTCATE NIr1IdRFR'i.V»ll Master New irorm RFVI9IC)NNIIMRFR11 - 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 REOUIRe-AENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCM18ED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIEa LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR: LTP,: TYPE OF INSURANCE : POLICY EFF POLICY EXP POLICY NUMBER MM'DD.1YYYY) fUM.-DDNYYYI UMITS GENERAL LIABILITY _ J C i atT YC S 2,000,000 x 300,000 i := AWZ :", i:AL ^�ti RAL UAF:V?1' DAV.NX .., I lit:b:yt<I3,: cF A _ :!nI+AS•�%A^. YY :.0 I: 34SBAZ83205 8/23/2010 $l23/2011 pa°f 7F,0.c maadry i ' $ 10,000 S 2,000,000 PEP.30N.4:.&A-DV:0Jry _ •- 00o 000 S 4,000,000 ....:.................................._..._.....__....- --•---- -! ....._-----•---•-= ------- A33REQA7E L:N i-,APPLIES REF: i PF^_..L},;: i:i;!!I?.T1a A33 - 41000,000 c G • � :AUTOMOBILEuABIUTY l i (•M:F:IIVf:I:FN•i:.F::.l>.iT �; 1,Q00 000 i X ANY xU:O II�CVV ` '•--• S : ' I II :34IIECI¢659b B123{2010 8123!201iRC, ....................................................................... u RLLJVJYEC:3:;;iiS` I E^C•!LY iW::P... (Per accds C .. (Per wade:," I - » » :.v;,a,. 10,000 S 1,000,000 ' 4R:'s:y iun'rs,.txai r d: a7 UMBRELLA UA6 X j OCCI :.....' t i : i r-F�N C;CCi:=t•7=:V^, .................................. <: 1, QQO, OOO . .... ..-_....... tXt:tA`i LIAG; $ 1, UUU, UUU A i X i aE EKT:C:N S 10000 344ISAZP3205 $/23/2010 4/23/2011 j i B WORKERS COMPENSATION 'X ;ANDEMPLOYERS'UABIUTY YIN Att?" aR!i'•n:^'a:PaR'tiEt:•FXS::G'I:'E :Or-�I_�GFtfilLYL£:i EXCiCC_3? _E N!Ai - `................................. ? 0 00 ......... �:aQ...�.t fl..... :(Mandatory In NH) 34WECSR4088 ?/23/2010 $/23/2011 I C:.i..'.<S-ASE-FT:si-?,%v .• g 1 000,000 •'ni'n.4ur.:Jw i ^c.✓'Ri"-?iC4�F M4-W r PCdiCV U$0. T g 1,000,000 C ::Professional SSHI34128739 a/23/2010 3/23/2011 I:3: vle:r. $1, 000, 000 Liability-$lOK D@ductible s�;resre $2,000,000 DESCRIPTION OF OPERATIONS; LOCA-nm! VEHICLES (Allvch ACORD 101, Addi!ionei fiemaAts Semedu* It Moro opat:s is required? Certificate Bolder is listed as an Additional Insured with respect to general liability coverage. cn Irws� I c nvLucn GAP&JCLLA I [Uri (970) 221-6619 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Laurie! D'Audney PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 85022 .T Munro, CIC/ASS: ACORD 25 (2009,109) 01980.2009 ACORD CORPORATION. All rights reserved. INSOE5;2i>:so5; The ACURU name and logo are registered marks of ACORD , Date: 2/15/2011 Time: 11:11 AM To: Laurie @ 16102216619 Page: 001 Lauria, As requested, here is the certificate of insurance for the above. Londa Konieczny Taggart Insurance 303-442-1484 Fax #303-442-8822 londak taggartinsurance.com