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HomeMy WebLinkAboutKEA CORPORATION - INSURANCE CERTIFICATEClient#: 46856 KEACO ACORD CERTIFICATE OF LIABILITY INSURANCE F DATE"""DNYYY) 2/15/2012 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 Flood & Peterson Ins., Inc. P. O. BOX 578 Greeley, CO 80632 970356-0123 NAME: CONTACT Flood & Peterson Insurance PHONE FAX uC No Ext : 720-977-711 O A/C, No): 720-977-7113 -MAIL ADDRESS: CUSTOMER ID k: INSURER(S) AFFORDING COVERAGE NAIC9 INSURED KEA Corporation 700 W. 48th Avenue, Unit B Denver, CO 80216 INSURER A: Companion Specialty Insurance C INSURER B:PinnacolAssurance INSURER C: Travelers Insurance Company 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. LTR TYPE OF INSURANCE D POLICY NUMBER PMM%OUNYYY MM/OD/YVVV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IFI OCCUR X BUPD Ded:2,500 VGL1011142 0210712011 04/01/2012 EACH OCCURRENCE $1000000 AMArO RENTED PREMISES Ea occunence $100000 MED EXP (Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP/OP AGG $2,000,000 $ C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS BA4406C31511SEL 2/07/2011 04/01/201 COMBINED SINGLE LIMIT (Ea accident) $11000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X 1$ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE VUE1111270 2/07/2011 04/01/2012 EACH OCCURRENCE s3000000 AGGREGATE s3 OOO OOO DEDUCTIBLE RETENTION 10000 IS X $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYIMITq ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICEWMEMBER EXCLUDED? (Mantlatory in NH) It yas, desenbe Onder DESCRIPTION OF OPERATIONS below N/A 4102579 4/01/2011 04/01/201 X WC STATU- OTH- TORY[B E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT s500OOO C Inst. Floater 16601401C861TIL11 2/07/2011 04/01/201 $300,000 Limit $500 Ded.. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Ft Collins 281 N College Ave PO Box 580 Fort Collins, CO 80522-0580 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 ACORD 25 (2009/09) 1 of 1 #S676611/M671552 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SIH