HomeMy WebLinkAbout129790 VELOCITY BOYS DBA THE FEET INC - INSURANCE CERTIFICATEClieniS-521R6
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ACORD,. CERTIFICATE OF LIABILITY INSURANCE
°8222U,2"""'
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(les) 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 and Peterson
Corporate Mailing Address:
P.O. Box 578
Greeley, CO 80632 l O
L
COWACT
NAME: Brlanne Danielson
PHONE 970 266-7118 970 506-6846
Ext : (A/C, No
im�-trianne.danielson@fioodandpeterson.com
Ao°REB3: brianne.danielson@floodandpeterson.com
FKUUUULN FEEIN
CUSTOMER ID q:
INSURER(S) AFFORDING COVERAGE
NAICS
INSURED
Velocity Boys, Inc. dba The Feet, Inc.
622 Sherry Drive
Fort Collins, CO80524
INSURER A. Fireman's Fund Insurance Co.
21873
INSURER B
INSURER C:
INSURER D
INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS ISTO CERTIFYTHATTHE 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,
EXCLUSIONS AND COND TONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTA NSR
TYPE OF INSURANCE
NSR
NVD
POLICY NUMB ER
MMIDDIYYY
MM/DDI VIYY
LIMITS
A
GENERALUABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FxIOCCUR
H46679702
/15/2012
08/15/2013
EACH OCCURRENCE
$1 000 000
PREMISE SEaoca,nence1
$1000000
MED EXP (My one Person)
$10 000
PERSONAL a ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER'.
POLICY PRO LOD
PRODUCTS - COMP/OP AGG
$2000000
$
A
AUTOMOBILE
UABILRY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNEDAUTOS
H46679702
8/15/2012
OW15/2013
COM RI NEDS INGLE LIMIT (Ea amldent)
$1000000
X
SO DI LY INJURY (Per Person)
$
SO MLY INJURY (Per aaident)
$
PROPERTY DAMAGE
(Per acatlent)
$
X
X
$
$
A
X
UMBRELLA LAS
EXCESS LIAB
OCCUR
CLAIMS -MADE
H46679703
/15/2012
08/15/201
EACHOCCURRENCE
$1 000 000
AGGREGATE
$1 000 000
DEDUCTIBLE
RETENTION 10 000
$
X
$
WORKERS COMPENSATION
AND EMPLOYERS'UABILITY YIN
ANY PROPRIETORIPARTNER/EXECUTIVE❑
OFFICERIMEMBER EXCLUDED?
(Mandatoryin NH)
Ilyea deacribeunder
DESLIRIPTION OF OPERATIONS below
NIA
WCSTATU- OH -
R
E.L. EACH ACCIDENT
$
E. L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRI PTION OF OPERATIONS I LOCATIONS I VEHICLES (AMach ACO RD 101, Additional Remarks Schoduie, H more apace Is requlmd)
City of Fort Collins is included as Additional Insured with respects to General Liability.
City of Fort Collins -
Purchasing DIVISIOn
9
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Jim Hume
P.O. BOX 580
1 AUTHORIZED REPRESENTATIVE
Fort Collins, CO 80522-0580
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) 1 Of 1 The ACORD name and logo are registered marks of ACORD
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