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HomeMy WebLinkAbout129790 THE FEET INC - INSURANCE CERTIFICATE (7)FEET-01 OP ID: TG AE 1�R0" CERTIFICATE OF LIABILITY INSURANCE MM/DDNYYY) DAT06124113 O6124113 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 Phone: 970482-7747 Brown 8, Brown I Tic 4532 Boardwalk Dr, Suite 200 970-084-4165 Fort Collins, CO 80525 Tyler B. Allen rCjOONNTACT NAME PHONE FAX A/C ofxt: A/C No: EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC a INSURERA:PInnacolASSUranceCompany 41190 Z- 0 INSURED The Feet, Inc. INSURERS: Philadelphia Indemnity Ins Co 18058 622 Sherry Drive Fort Collins, CO 80524 INSURER c: AGCS Marine Insurance Co. 22837 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. INSR LTR rypE OF INSURANCE POLICY NUMBER POLICY Err MMAIDNYYY POLICY P MMND/WYY LIMITS GENERALLIABIUTY EACH OCCURRENCE $ DAMAGETO PREMISES PENT RU $ COMMERCIAL GENERAL LIABILITY MED EAR (My one pe rson) $ CLAIMSTAADE OCCUR PERSONN. B ADV NJJRY $ GENERAL AGGREGATE $ GEN'LAGGRlz LIMIT APPLIES PER'. PRODUCTS- COMP/OP AGC- $ POLIO'! PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acogenl BODILY N JJRY(Perpersonl $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJJRY (Peraccdent) E M IFED AUTOS NON -OWNED AUTOS PROPERTYDAMAG Per accident $ $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSLIAS CLAIMS -MADE DED I I RETENTION, $ A WORKERS COMPENSATION AM EMPLOYERS' LIABILITY ANY PRUPRIETOR/PARTNER,EXECITIVE YIN OFNCER/MEMBER EXCLUDED9 (Mandatory in NH) N/A 3534074 07101/13 07/01/14 X I WC STATU- OTH- IT E EL. EACH ACCIDENT $ 1,000,00 EL DISEASE - EA FMPLOYFF $ 1,000,00 Ryas descota under DESCRIPTION OF npERATIONG belgw IE.L. DISEASE - POLICY LIMIT I $ 1,000,00 B Empl Dish PHSD844894 05/28/13 05128114 Limit 260,00 C rans/Cargo MZ198470793 02/15/13 02I15/14 Limit 100,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addidonal Remarks Schedule, If more space Is required) Fax #221-6707 CITYDIV City of Fort Collins Purchasing Division Attn: Jim Hume PO Box 580 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 Tyler B. Allen O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD FEET-01 OP ID: JD '4`� CERTIFICATE OF LIABILITY INSURANCE tv DATE06/03OIYYYY) 06/03113 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 Phone: 970482-7747 CONTACT Brown & Brown Inc Fax: 9704844165 4532 Boardwalk Dr, Suite 200 PHONE FAX ac No EXt: ac No: EMAIL ADDRESS: Fort Collins, CO 80525 Tyler B. Allen INSURERS AFFORDING COVERAGE NAICN INSURER A: Plnnacol Assurance Company 41190 INSURED The Feet, Inc. INSURER B: Philadelphia Indemnity Ins Co 18058 622 Sherry Drive Fort Collins, CO 80524 INSURERC AGCS Marine Insurance Co. 22837 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. INS, LT, TYPE OF INSURANCE ADDL BUR POLICY NUMBER I POLICY D/YYYY MM BAR MMIDDEFF POLICY IYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDence PREMISES Ea owurr $ CLAIMS-MADE1:1 OCCUR MED EXP(Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP ASS $ POLICY PRO LOD $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accl Cent $ BODILY INJURY (Per person) $ ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Pereooident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N /A 3534074 07/01/12 07/01/13 X WC STATU- OTH- T RY LIMIT ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,DBD,BD If yea, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 B Empl Dish - PHSD844894 01121113 05121/14 Limit 250,00 C Trans/Cargo MZ198470793 02/15/13 02115/14 Limit 100,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) Fax #221-6707 CITYDIV City of Fort Collins Purchasing Division Attn: Jim Hume PO Box 580 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 �- WaI © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD