HomeMy WebLinkAboutJJ FENCING LLC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE
American Family Insurance Company ❑
American Family Mutual Insurance Company if selection box is not checked.
6000 American Pky Madison, Wisconsin 53783-0001
Insured's Name and Address
Agent's Name, Address and Phone Number (Agt./Dist.)
JJ Fencing LLC
Jennifer Clarke
C/O Justin Ewing
301 W Magnolia St
1555 Katie Drive
Fort Collins, CO 80521-2804
Loveland, CO 80537
(970) 221-0897 (020/309)
This certificate is issued as a matter
of information only and confers no rights upon the Certificate Holder.
This certificate does not amend,
extend or alter the coverage afforded by the policies listed below.
COVERAGES
This Is to codify that polices of Insurance listed below have been issued to Me insured named above for Me policy period Indicated, notwithstanding any requirement term or condign of any contract or other
document with respetl to which this certificate may be issued a may pertain, the Insurance aaatled by me polities desatbed herein Is subject to all the terns, exclusions, and conditions of such policies.
TYPE OF INSURANCE
POLICY NUMBER
POLICY DATE
LIMITS OF LIABILITY
F
FECTr f xPl�nrloN
0 a,
Homeowners/
Badly Injury and Property Damage
Mobilehomeowners Liability
Each Occurrence $ .000
Boa[ownerS Liability
Bodily Injury and Property Damage
Each Occarence $ ,000
Personal Umbrella Liability
Bodily Injury and Property Damage
Each Occurrence $ ,000
Farm Liability a Personal Liability
Farm/Ranch Liability
Each Ocoo. $ .000
Farm Employers Liability
$ '000
Statuary
Workers Compensation and
Each Accident $ ,000
Disease - Each Employee $ ,000
Employers Liability t
Disease - Policy uma $ ,000
General Liability
O Commercial General
Liability(occumence)
❑
05-XT2457-01-00
04/09/2013
04/09/2014
General Aggregate $ 2,000,Ooo
Products -Completed Operations Aggregate $ 2,000,000
Personal and AdwrosirgInjury $ 1,000,000
Each Occurrence $ 1,000,000
❑
Damage to Premises Rented to You $ 100,000
Medical Expense (Any One Pereonj $ 5,000
Businessowners Liability
Each Occurnencatt $ '000
Aggregatett $ .000
Liquor Liability
Common Cause Limit $ .000
Aggregate Limit $ '000
Automobile Liability
Bodily Injury - Each Person $ ,000
❑Any Auto
❑ All Owned Autos
Badly Injury - Earn Accident $ .000
❑ Scheduled Autos
Property Damage $ .000
❑ Hired Auto
eomly Injury and Property Damage combined $ .000
❑ Nonowned Autos
11
Excess Liability
❑ Commercial Blanket Excess
Each 0¢urterca/Aggregate $ ,000
Other (Miscellaneous Coverages)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / RESTRICTIONS / SPECIAL ITEMS trims Individual or parmers shown as Insured❑ Have[-] Have no
Listed as Additional Insured: City of Fort Collins eleelad to be covered under this policy.
ttProducts Completed Operations aggregate is equal to each
occurrence limit and is included in policy aggregate.
CERTIFICATE HOLDER'S NAME AND ADDRESS
CANCELLATION
City of Fort Collins
y
❑ Should any of the above described policies be cancelled before the
expiration date thereof, the company will endeavor to mail '( days)
215 N Mason St
written notice to the Certificate Holder named, but failure to mail such notice
Fort Collins, CO 80524
shall impose no obligation or liability of any kind upon the company, its
agents or representatives. *10 days unless different number of days shown.
❑x This certifies coverage on the date of issue only. The above described
email: jstephen@fcgov.com
policies are subject to cancellation in conformity with their terms and by the
laws of the state of issue.
DATEISSUED
AUTHORIZED REPRESENTATIVE
10/30/2013
Jennifer Lamb Sanitago
U-201 Ed. 5100 Stock No. 06668 Rev. 7/02