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Home My WebLink About357006 ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATE (4)An '4`� CERTIFICATE OF LIABILITY INSURANCE R022 oiTEii�2oi2 THIS CERTIFICATEIS 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(SI, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policylies) must be endorsed. If SUBROGATIONIS 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 LEID FINANCIAL GROUP INC/PHS 342560 P- (866)467-8730 F• (877) 905-0457 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: PHONE FA% Ese: (866)467-8730 ac,Na: (877)905-0457 E-/pNo ADDRESS: CUSTOMERID I: INSURER(SI AFFORDING COVERAGE NAICI INSURED INSURER A: Hartford Casualty Ins CO INSURER B: LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW 215 E 2ND ST INSURER C : LOVELAND CO 80537 INSURER O: INSURER E: INSURER F : COVFRArFS 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. LLLM TYPE OF LNSIMARCE , PULLLY NUMBER fM IffYI fMAVOamY ) LLfOTS A GENERAL LIASSTTY COMMERCIAL GENERAL UABILITV CLAIM&MADE i OCCUR X General Liab X 34 SBA PE5367 05/26/201105/26/2012 EACH OCCURRENCE S 1,000,000 PREMISES E. occunenca) S 300,000 MED EXP (Any one pmson) S 10,000 PERSONAL NADVINJURY S1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE UMIT A�IPPV LJ POLICY PRO- JECT IES PER: LOC PRODUCTS - COMP/OP ASS $ 2,000,000 S AUTOMOBILE LLASR TY A NYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) S BODILY INJURY IPer accident) S PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LMS EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DEDUCTIBLE RETENTION S $ V WOfiXANDE MOYERSENSATroN ANOEMPLOYERS'[WBRTNE YIN ANY PflOPR1ETOR/PARTNER/EXECUTIVE❑ OFFICERIMEMBEREXCLUDEDI fMandafpry . MR) If yes, descdbe under DESCR PNON OF OPERATIONS below N/A WCSTATU- OTH- OMITS EP E.L. EACH ACCIDENT EACH 8 E.L. DISEASE - EA EMPLOYE S E.L. DISEASE - POLICY LIMIT 8 DESGRIPTLON OF OPERA TONS/LOCATONS /VEHICLES Offach ACORD 101, AddAErnaf Reanimates Sclradula, I mnn yeas a nau)adl Those usual to the Insured's Operations. City of Fort Collins are Additional Insured per the Business Liability Coverage Form SS0008. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE City of Fort Collins DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNOR DREPRESENTATHE 215 N MASON ST FORT COLLINS, CO 80524 7a2_ / uY D 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD