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HomeMy WebLinkAbout129790 THE FEET INC - INSURANCE CERTIFICATE (9)FEET-01 OP ID: JD A41C"RJR CERTIFICATE OF LIABILITY INSURANCE DATE(M08115/1YYY) 5/13 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: 970-482-7747 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fax: 970-484-4165 Fort Collins, CO 80525 Tyler B. Allen CONTACT NAME: FA q/�NNo Ext : AIC No): E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC N INSURER A: United Specialty Insurance Co. 12537 INSURED The Feet, Inc. 622 Sherry Drive Fort Collins, CO 80524 INSURER B: Pinnacol Assurance Company 41190 INSURER C :AGCS Marine Insurance Co. 22837 INSURER D. Praetorian Insurance Co. 37257 INSURER E: Philadelphia Indemnity Ins Co 18058 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 L I U POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 D X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PICC0003788 08115113 08/15/14 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY F-1 PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ D ANYAUTO PICC0003788 08115/13 08115/14 AUTOSALLOWNED - AUTOS ULED BODILY INJURY (Per accident) $ P NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X AGGREGATE Is 2,000,000 A EXCESSLIAB CLAIMS -MADE USA4000159 08/15113 08115/14 DIED RETENTION$ O $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYIN OFFICERIMEMBER EXCLUDED? FY7 N/A 3534074 07/01/13 07/01/14 X WCSTATU- OTH- TCRY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 E Empl Dish PHSD844894 15128113 05128/14 Limit 250.000 C Trans/Cargo MZ198470793 02/15/13 02/15/14 Limit 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) The City of Fort Collins is included as an additional insured per conditions and forma shown on page 2. Fax #221-6707 CITYDIV City of Fort Collins Purchasing Division Attn: Jim Hume PO Box 580 ,Fort Collins, CO 80522-0580 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 �_ wa%'_q� ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD No Text