HomeMy WebLinkAboutPRIMAL ECHO LLC - INSURANCE CERTIFICATEClient#: 51254
PRIEC
ACORD. CERTIFICATE OF LIABILITY INSURANCE
F DATE""
10/23/2012
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
CONTACT
NAME: Nicole Koehn
PHONE 970-506-3286FAX
A/c No En : A/C. No : 9703301867
ADDRESS: nicole.koehn@floodandpeterson.com
CUSTOMER ID
INSURER(S) AFFORDING COVERAGE
NAICa
INSURED
Primal Echo, LLC
305 W. Magnolia, #285
Fort Collins, CO 80521
INSURER A: Auto -Owners Insurance Group
INSURER B
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.
UL
TYPE OF INSURANCE
MIL
POLICY NUMBER
MINOD/YFF
WDD EXP
LIMITS
A
GENERALLIABILnY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE j7viJ OCCUR
1023327463697412
1/19/2012
11/1912012
EACH OCCURRENCE
$1 000 000
PREMISES Ea oscurm'erll,
s3000OO
MED EXP (Any one person)
$10,000
PERSONAL$ ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
JFCT -1
PRODUCTS - COMP/OP AGO
$2,000,000
$
AUTOMOBILE
LIABILITY
ANYAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE OMIT
(Ea accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DEDUCTIBLE
RETENTION
$
$
WORIG:RS COMPENSATION
AND EMPLOYERS'UABILTTY Y/NMlEI
ANY PROPRIETOIUPARTNEWEXECUTIVE❑
OFFICEWMEMBER EXCLUDED?
(Mandatory In NH)
e, danbe under
In.
DCRIPTION OF OPERATIONS below
WA
%STATU- OTH-
EL EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT I
S
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Romance Schedule, It more space 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
ACORD 25 (2009/09) 1 Of 1
#S743902/M743893
01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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