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HomeMy WebLinkAbout129790 THE FEET - INSURANCE CERTIFICATEClient#: 52186
FEEIN
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDIYYYY)
F
2/07/2013
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 and Peterson
Corporate Mailing Address:
P.O. Box 578
Greeley, CO 80632 1.L O
CONTACT NAME: Brlanne Danielson
PHONE 970 266.711E FAX g70 SD6.6846
A/C No Est:INC. No
a DRESS: brianne.danielson@floodandpeterson.com
PRODUCER FEEIN
CUSTOMER ID p:
INSURER(S)AFFORDING COVERAGE
NAICN
INSURED
Velocity Boys, Inc. dba The Feet, Inc.
622 Sherry Drive
Fort Collins, CO 80524
INSURER A: Fireman's Fund Insurance CO.
21873
INSURER B :
INSURER C
INSURER 0:
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.
INSR
LifL
OF INSURANCE
DOL
%TYPE
UBR
POLICY NUMBER
MM/DDNYYY
MM/DDIYYYY EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL ABILITY
CLAIMS -MADE OCCUR
H46679702
8/15/2012
08/15/2013
EACH OCCURRENCE
$1 OOO OOO
DAMAGE RENTE
PREMSESOEaoccurance
$1000000
MED EXP (Any one person)
$1 O OOO
PERSONAL B ADV INJURY
$1 000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
RO F LOG
POLICY PFCT
PRODUCTS - COMP/OP AGG
s2,000,000
IS
A
AUTOMOBILE
LIABILITY
ANVAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
H46679702
8/15/2012
08/15/2013
COMBINED SINGLE LIMIT
(E.rtoadenl)
$1000000
X
BODILY INJURY (Per person)
It
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
$
A
)(
UMBRELLA LIAS
EXCESS LIAR
OCCUR
CLAIMS -MADE
H46679703
8/15/2012
08/15/2013
EACHOCCURRENCE
$1 000 000
Id
AGGREGATE
$1 00O o0O
DEDUCTIBLE
RETENTION a 10,000
$
X
Is
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTIVE❑
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
WA
WC STATLE OTH-
PH
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
City of Fort Collins
Purchasing Division
PO 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
#S763282/M726947
@1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
PJE