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Home My WebLink AboutPLAYPOWER HOLDINGS INC - INSURANCE CERTIFICATEAC J?K>as CERTIFICATE OF LIABILITY INSURANCE DnrE( Q7nma l 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 endomement(s). PRODUCER ADD Risk Services Central, Inc. St. Louis MO Office CONTACT NAME: PH (866) 283-7122 PAY (800) 363-0105 WC.W.Esq: AIC. Na.: E-MAIL ADDRESS: 8182 Maryland Avenue St Louis NO 63105 USA INSURER(S) AFFORDING COVERAGE NAICA INSURED INSURER A: Liberty Mutual Fire Ins CO 23035 Playpower Holdings, Inc. INSURER B: Liberty Insurance Corporation 42404 11515 vanstory Drive suite 100 INSURER C: HUNTERSVILLE NC 28078 - 6417 USA INSURER D: INSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER: 570054042515 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. Limits shown are as requested LTR TYPE OF INSURANCE INSp WVD POLICY NUMBER IMyx:DrryYYI tMPMLIGY LAP IDDrNYY LIMITS X COMMERCIAL GENERAL LIABILITY ED EACHOCCURRENCE $1,000,000 CLAIMS -MADE �% OCCUR SIR applies per policy terns & condi ions PREMISES Ea oamrence $1,000,000 MED EXP (Any one person) PERSONAL A AM INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 POLICY EPET ❑% LOG PRODUCTS -CONNOR AGO S5,000,000 51RIDeduc4ble 1500,000 OTHER: A AUTOMOBILE LIABILITY A52-641-004540-053 09/01/201309/01/2014 COMBINED SINGLE LIMIT Ea a=Aeml $1,000,000 BODILY INJURY( Per person) X ANY AUTO BODILY INJURY (Per amident) ALL OWN EO SCHEDULED AUTOS AUTOS % HIRED AUTOS X NON-0wNEO AUTOS PROPERTY DAMAGE Pertctidenl constrahansiPre Deduct $1,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR CLAIMS -MADE DED RETENTION a WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR I PARTNER I EXECUTIVE OFFICERMEMBER EXCLUDED? N (Mandatory in NH) L IE.L. NIA wA764DO04540123 09/01 2013 09/01/2014 X• PER OTH- STATUTE ER E. L. EACH ACCIDENT $1,000,000 DISEASE -EA EMPLOYEE $1,000,000 IIY des0tar Under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be susdMd II more space is required) The City, its officers, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE NTH THE POLICY PROVISIONS. City Of Ft. Collins AUTHORIZED REPRESENTATIVE Jill wuertz PO Box 580 Ft. Collinsin CO 80522-0580 USA eWon !" 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000052633 LOC #: ADDITIONAL REMARKS SCHEDULE Page of _ AGENCY Aon Risk services Central, Inc. NAMEDINSURED Playpower Holdings, Inc. POLICY NUMBER See Certificate Number: 570054042515 CARRIER see Certificate Number: S7005404251S NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL, POLICIES If a policy below does not include limit intonnadon, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTH LTN TYPE OF INSURANCE ADDL INSD SUBR W\'D POIACYNUMBER POLICY EFFECTIVE DATE MMIDD/1'\'1'\ POLICY EXPIRATION DATE MMNDNVY'Y LIMITS AUTOMOBILE LIABILITY A AS2-641-004540-053 09/01/2013 09/01/2014 collision Deductible $1,000 ACORD 101 (20=01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000052633 LOC p: ® ADDITIONAL REMARKS SCHEDULE Page _ of . AGENCY NAMEDINSURED ACID Risk services Central, Inc. Playpower Holdings, Inc. POLICY NUMBER see certificate Number: 570054042515 CARRIER NAIC CODE See Certificate Number: 570054042S15 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL FORM NUMBER: Named Insured schedule P1ayPower Inc. (First named insured) Additional Named Insureds Play Power Holdings, Inc. P1ayPower Finance, Inc. Miracle Recreation Equipment Company E-Z Dock, Inc. Kid Play, Inc. soft Play, L.L.C. sprectra Turf, Inc. Pl ayPower LT Farmington, Inc. oval (1747) Ltd. And its subsidiary companies: Staines Metal Products (Group) Limited shade structures, Inc. Play Power Finance LLC Hags Play AB But only while the first named insured directly or indirectly owns, during the policy period, an interest therein of more than 50%. The ACORD name and logo are registered marks of ACORD