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HomeMy WebLinkAbout157778 BOBBAR INC DBA SCOTCHIE'S CLEANERS - INSURANCE CERTIFICATEBLIBLIA-4 VP IU: IL , 4c CERTIFICATE OF LIABILITY INSURANCE `.� D08/05120ATE 13 OS/05/2013 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 endorsements . PRODUCER Phone: 970-635-9400 CONTACT PFS Insurance Group -JT Fax: 970-635-9401 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Johnstown Select Accounts PHONE FAX c No Est : A/C No E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC M INSURER A:Contlnental Western Group INSURED Bobber, Inc dba Scotchie's Cleaners Bob Baier & Barb Knappe INSURER B: INSURER C: 1827 E. Mulberry St. INSURERD: INSURER E: Fort Collins, CO 80524 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 TYPE OF INSURANCE ADD UBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY E%P MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A GENERAL LIABILITY CWP2894488 08/0112013 08101/2014 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS -MADE O OCCUR MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 TXCOMMERCIAL GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 RO LOC POLICY JECTPRO_ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO AOSCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS /( UMBRELLA LIAB I X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A E%CESS LIAB CLAIMS -MADE CU2894487 08101/2013 08/0112014 DED RETENTION$ I Is WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETORIPARTNEWEXECUTIVE❑ NIA CS STATU- OTH- TOSYLUdL R E. L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLGYFE $ if6 describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CITYFCI City of Fort Collins Purchasing Dept 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 Johnstown Select Accounts © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD