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Home My WebLink About474788 ALL STRIPES & MAINTENANCE LLC - INSURANCE CERTIFICATE (2)CERTIFICATE OF LIABILITY INSURANCE DATE IMMAID/YYYY) 2/12/2014 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 I 0.1ACT Michelle Tusirlski PO Box 847 Longmont, CO 80502 INSURED All Stripes a Maintenance, LLC dba Rocky Mountain Sweeping 47 P O Box 1399 Fort Collins, CO 80522 Colorado Casualty Insurance Co Owners Insurance ComDanV 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 AM TYPE OF INSURANCE POLICY NUMBER PMQDYEFF MOMAYEXP LIMITS A X COMMERCIAL GENERAL LIAMUTY CLAIMS -MADE X OCCUR BKS55859658 02120/2014 02J2812015 EACH OCCURRENCE $ 1,000,00 PREMISES $ 700,00 MEDEXP are $ 15,00 PERSONAL a ADV INJURY $ 1,000,00( GEWL AGGREGATE Loaf APPLIES PER: X POLICY O LOC OTHER: GBELIL AGGREGATE $ 2,000.00( PRODUCTS -COMPIOP AGO $ 2,000,00( $ B AUTOMOBILE LIABILRY x my AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS ALTOS ED 4825658700 01108/2014 01I108I2015 a $ 1,000, BODILY INJURY(PM peneI) $ BODILY INJURY(Per aWtlenl) $ Per a(XR19110$ S UMBRELLA LIAR EXCESS LMB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I IRETENT $ WDRKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARrNERIEXECUTIVE Y M OFFICERIMEWER EXCLUDED? (Mndatory 1n NH) Ir yyeeee deecdbe seder DrS'dRIPfION OF OPERATIONS below NIA STA EL.EACHACCIOENT $ EL. DISEASE - EA EM $ EL DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Addlbonal Remarks Schedule, may be allachw H more spaca breRleledl Certificate Holder is Additional Insured under the General Liability per written contract. , City of Fort Collins Purchasing Division POBox 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 K �"MLh ACORD 25 (2014/01) 1988-2014 The ACORD name and logo are registered marks of ACORD reserved ALLSTRI-01 MTUSINSKI AFRO CERTIFICATE OF LIABILITY INSURANCE DATE 12/4/20113 ) 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 PRODUCER TPO Box 847 rueNorth Longmont, CO 80502 INSURED All Stripes & Maintenance, LLC P O Box 1399 Fort Collins, CO 80522 ODNIACI Michelle Tusinski NAME: PNHCONNo FacAX ;�303 776 5122 No; 303) 776-5495 anone: mtuainski@truenorthcompanies.com INSURER(S) AFFORDING COVERAGE NAICM INSURER A: Colorado Casualty Insurance Co 18333 INSURER a: 0URI I S I[ISUMVICS COMPanY 32700 INSURERC: INsuRER O: ivauaoa o. Cr1VFRAr l=Q CFRTIFICATF MI IMRFR• REVISION MIIMRER- 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 ADDLSUBR TYPE OF INSURANCE POLICY NUMBER MMIODNYYY MMIDDNYXYY UNITS LTR A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR CBP8689961 2128/2013 2/28/2014 EACH OCCURRENCE $ 1,000,00 PREMISES Eaoceunence s 100,00 MED EXP (Any one person) $ 15,00 PERSONAL& ADV INJURY S 11000100 GENERAL AGGREGATE s 2;000,00 GEN-L AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO- LOC . 1-1 PRODUCTS-COMP/OP AGO 6 21000000 _. 6JECT B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOHIREDSAUTOS AUTOS NON -OWNED AUTOS 4825658700 1/8/2014 1/8/2015 COMBIND Es aw' lard) SINGLE LIMIT $ 1,000.00 BODILY INJURY (Per pawn) S BODILY INJURY(Per acd0en8 6 IR a�i�rsDAMAGE 6 $ UMBRELLA LIAS EXCESS LIAB OCCUR CLAIMS#MADE EACH OCCURRENCE $ AGGREGATE $ DEO I I RETENTIONS s WORKERS COMPENSATION AND EMPLOYERS 'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERNEMBER EXCLUDED? El (Mandatary In NH) If yea tlesaibe un0er DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- Y LIMITS EL. EACH ACCIDENT S E.L. DISEASE EMPLOYE S PEA E.L. DISEASE -POLICY LIMB S DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remaras Schedule, H more space is required) Certificate Holder is Additional Insured under the General Liability per written contract. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division P O Box 58 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE (D1988-2010 AGURU COKYOKA I ION. All rlgnts reservea. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD