HomeMy WebLinkAboutZAHAKIS INC - INSURANCE CERTIFICATEP.1
'`� D® CERTIFICATE OF LIABILITY INSURANCE
DAos 442o i"
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(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 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).
PRoouc' Sharon Younie Insurance Agency, Inc.
uArseEpcT Sharon Younie
PHaNE Me), 970-3-7882
, 970-663-7860 Fv
118 E 29th St Ste H
EMAIL
AomEss:
O Loveland, CO 80538
INSURE AFFORDINGCOVERAGE
NAICp
INSURER A :
1NS11RED Zahakis Inc
NsuRERe:
NSVRERC:
2300 Valley Forge Ct
FOR Collins, CO 80526-1652
NSVRERD:
W WREA E:
WSVRER 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. NOTLMTHSTAN 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. LIMITS SHOVYII MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR
LTR
TYPEOFINSURANCE
DL
POUCYNUMBER
MYlODIYEFF YYY
EXP
OINY
MIAM
LIMITS
A
GE N ERALLIABIMTY
❑Y
96G592999
041151ZDll
04J1512012
EACH OCCURRENCE
S 1,CD0,000
PREMISES tE a ccTiarence
i
X COMMERCIAL GENERAL LIABILRY
CIAIMS-LIADE 1 OCCUR
WED EXP (" ore pear)
$ 10000
PERSONAL S ADV INJURY
Is 1,CDO,000
GENERALAGGREGATE
! S 2,0000OD
GEN•LAGGREGATE LIIAIT APPLIES PER:
PRODUCTS AGG
f 2,000,000
is
POLICY PRO LOC
AUTOMOBILE MABIUTY
❑
❑
r nt D SINGLE LIMR
UTe 'ML
S
BODILY INJURY (Par person)
S
ANY AUTO
BODILY INJURY(P. Ro:M.M) S
ALL OWNED SCHEOULEJ
AUTOS AUTOS
NON-OMED
HREDALROS AUTOS
PROP FRTY DA,WG
Pn acldar f
S
UMBRELLA -MB
OCCURFE]
EACH OCCURRENCE f
AGGREGATE f
QCESS LMB
CLAMSWAOE
!
DIED RETENTIONS
If
tORNERSGOVPENSAnON
:OEMROYERsWIBILITY YIN
ANY PPOPRIETORRARTNERaEBECUI1W77
INL STATU- OTH-
Y M
E. L. EACH ACCIDENT
f
O RCEMEMBEREXCLUDED7
MIA
l0eadatery Ln NR)
EA. DISEASE-EAWPLOYE
f
E.L. DISEASE-PO!N:Y LIMIT
1 f
Il Yea deswcs.weJ
DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (Attach ACORD I01,AddMonal Roma6u,SLhadUle, Ilmo space laraNWmd)
City of Fort Collins is named as additional insured ATIMA, Re: Patio service
City of Fort Collins
215 N Mason
Fort Collins, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE VATH THE POLICY PROVISIONS.
AVTHORPED REPRESENTATIVE
RaZFIFfF F]S G1daLTr7TiTaTr] 9a19�1 Y ral!>••1I �'J/.l T
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849-6 11-15-2010