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474788 ALL STRIPES & MAINTENANCE DBA ROCKY - INSURANCE CERTIFICATE
ACORff CERTIFICATE OF LIABILITY INSURANCE D DDIY3 7/17/2013 17/ 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 First Mainstreet Insurance, LLC 275 S. Main Street, Suite 100 P.O. BOX 847 Longmont CO 80502 L COME:NTACT Karen Steckel NA PHONE (303)776-5122 FAXA/C (303)776-5095 EDRES,ksterkel@firstmainstreet.com INSURE S AFFORDING COVERAGE NAIC N INSURER AColorado Casualty Insurance Co 18333 INSURED All Stripes & Maintenance, LLC, DBA: Rocky P 0 BOX 1399 Fort Collins CO 80522 INSURER B:Owners Insurance Company INSURERC: INSURERD: INSURER E : INSURER F: COVERAGES :FRTIFIrATF NIiMRFR•13-16 al -.ha R1=VMIl %M ral!!4P=o• 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM D POLICY EXP MM D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO NTED PREMISES Ea occurrence) rrn $ 100,000 A CLAIMS -MADE �x— OCCUR BP8589961 /28/2013 /28/2014 MED EXP(Any one person) $ 15,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMB APPLIES PER:- PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY F1 PR6 LOC $ AUTOMOBILE LIABILITY - CEOs BINED!TINGLE -LIMIT 1 000 000 X BODILY INJURY (Per person) $ B ANY qU{p BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS 112-96511700 /8/2013 /8/2014 X HIRED AUTOS X AUTOS QED PROPERde DAMAGE $ 100,000 X Uninsured motorist BI Wit limit $ 250,000 UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION WC STATU- I OTFF AND EMPLOYERS' LIABILITY Y I N ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L DISEASE - POLICY LIMB $ D 'SCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sch#dule, R nlore space Is required) Certificate Holder is Additional Insured under the General Liability per written contract. City of Fort Collins Purchasing Division P O Box 58 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 Sterkel/JGRAHA ACORD 25 ©1988-2010 ACORD CORPORATION- All rinhtc raconrart INS025nninamnl Th. Ar:nRn nanra.nrl Inn^ ara ranicfararl m.rka of annRn