Loading...
HomeMy WebLinkAboutPRIMAL ECHO LLC - INSURANCE CERTIFICATE (2)Client#: 51254 PRIEC ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DWYYYY) F 10/21/2011 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 AN.END, 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 Ileu of such endorsement(s). PRODUCER ONTACT NAME: Flood & Peterson Ins., Inc. PHONE 970 356-0123 9703301667 A/C No Ell: A/C, No P. O. Box 578 Greeley, CO 80632 ADDRESS: 970356-0123 CUSTOMER ID s: INSURERS) AFFORDING COVERAGE NAICI INSURED INSURER A: Auto -Owners Insurance Group Primal Echo, LLC 305 W. Magnolia, #285 INSURER B Fort Collins, CO 80521 INSURER C: 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 TYPE OF INSURANCE 4DDL SUB POLICY NUMBER POLICY MWDDFF /Y WDD/VYP LIMITS A GENERAL LIABILITY 1023327463697411 11/19/2011 11/1912012 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABWN CLAIMS -MADE FXIOCCUR PREMISES Ea occurrence s3000OO MED EXP (Any we person) $10,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000000 PRO- LOC POLICY 71 1 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE UMIT (Ea amiden q $ ANY AUTO BODILY INJURY (Per perscn) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIREDAUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ E%CESS LIAB CLAIMS -MADE DEDUCTIBLE $ S RETENTION WORKERS COMPENSATION WCS I I OTH- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L EACH ACCIDENT S E.L. DISEASE- EA EMPLOYEE S (Mandatory In NH) If yes, descnW under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY OMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional RemaM Schedule, it more apace is required) Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. City of Fort Collins, Purchasing Division P O Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE e6ea occ2 0 egA4:� U1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Of 1 #S653664/M653663 The ACORD name and logo are registered marks of ACORD PXP