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Home My WebLink AboutVENDING SERVICES OF COLORADO - INSURANCE CERTIFICATE (5)A OK� CERTIFICATE OF LIABILITY INSURANCE OP ID XA DATE6/3 YYYY) 06 30 11 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). PRODUCER NAME: PHONE FAX AICAN): (A/C, No): Blown & Brown Inc 4532 Boardwalk Dr, Suite 200 ADDRESS: Fort Collins CO 80525 PRODUCER CUSTOMER ID p: VHNDI-1 Phone:970-482-7747 Fax:970-484-4165 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Plnnacol Assurance Company 41190 Vending Services of Colorado Inc. INSURER B: Depositors Insurance Company 42587 INSURER C: 5442 Boeing Dr Loveland CO 80538 INSURER D INSURER E INSURER I: 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, L Ta TYPE OF INSURANCE NSR DD SWVDI POLICY NUMBER POCICV EFF— (MLIC YYYY) POLICY EXP I (MMIDDIYYYY) LIMITS B GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Business Owners ACP7514279024 12/19/10 12/19/11 EACH OCCURRENCE $ 1000000 PREMISES(Ed occu ante) $ 300000 MED UP (Any one person) $ 5000 PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n PRO- JECT n LOC PRODUCTS - COMPIOP AGO $ $ B AUTOMOBILE LIABILITY ANY AUTO ALLOWNEOAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ACP7514279024 12/19/10 12/19/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ j DEDUCTIBLE RETENTION $ $ Is - A WORKERS COMPENSATION AND EMPLOYERS- LIABILITY YIN ANY PROPRIETOP/PARTNERIE%ECUTIVB—, OFFICER)MEMBER EXCLUDED? (Mandatary in NH) u If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4104021 10/01/10 10/01/11 - W- TORV LIMITS ER E.L. EACH ACCIDENT $lOOOOO E.L. DISEASE-FAEMPLOYEE $ 100000 EL DISEASE -POLICY LIMIT $ 500000 PROPERTY 103000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUach ACORD 101. Additional Remarks Schedule, R more space is required) Vending Service - Food & Soft Drinks CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYFIO I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins 215 N. Mason St. ACORD 25 (2009109) The ACORD name and logo are