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HomeMy WebLinkAboutAMY'S GREEN DRY CLEANING - INSURANCE CERTIFICATE7 ® ,4coRv CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VVVV) 6/19/2012 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 policyties) 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 endomement(s). PRODUCER Weedin Agency, Inc. PO Box L COr� Berthoud, C80513 CONTACT NAME' MOONEG E„ (970) 532-3131 ac. NG I(970) 532-3100 ADDRESS'. ADD INSURER(5) AFFORDING COVERAGE NAIL# INSURER A'. OWNERS INSURANCE CO INSURED AHEAD START, INC DBA AMY' S GREEN DRY CLEANING 540 & 550 N JEFFERSON AVE LOVELAND, CO 80537 INSURER B: INSURER C NSURER D: INSURER E: INSURER F r'nVFRAnFS 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 LTR rypE OF INSURANCE ADDL INSR SUae MIVD POLICY NUMBER POLICY FF MMIDDIVVVY POLI Y EXP MMIDDIVVYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR 74456848 11/29/1111/29/12 EACH OCCURRENCE $ 21000,000 PREMISES Ea occurrence $ 300 000 MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 3,000,000 GENE AGGREGATE LIMIT APPLIES PER. X POLICY F7 PRO JECT 1-1 LOC PRODUCTS - COMP/OP AGO $ 3,000,000 $ A BILE LIABILITY AYAUTO AL OWNED SCHEDULED AS NOMOTOS NON -OWNED HIRED AUTOS AUTOS 4745684800 11/2B/1111/26/12 Ea accitlenl COMBINED L L $ 1,000,000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident $ (Peraccid7 A E $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION N AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? IManamory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA TWO STATU- OT TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach AC ORD 101, Additional Remarks Schedule, it more space is required) CFRTIFICATF H01 DER CANCELLATION .CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FORT COLLINS, CO 80522-0580 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE D JYESENTAT ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD