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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 PXP