The URL can be used to link to this page

Home My WebLink About357006 LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATE (2)s�coizo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYS� 5/17/2014 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 LEID FINANCIAL GROUP INC/PHS 342560 P:(866) 467-8730 F:(888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: PHONE (NC.No.EIr (866) 467-8730 FM (A¢,No): (888) 443-6112 oEss: INSURER(S) AFFORDING COVERAGE NAICN INSURERA: Hartford Casualty Ins Co INSURED LYNNETTE KEIM DBA //ALL AMERICAN BACKFLOW 215 E 2ND ST LOVELAND CO 80537 INSURER B: INSURERC: INSURER D: INSURER E: INSURER F: rcorrorATE MUMnco• 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. I.N.SF TYPEOEBYSIIFANCL ADDL SVBR POLICTNI/MBEF LDOTS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1 , 000, 000 CLAIMS -MADE 1XI OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $300, OOO A General Liab 34 SBA PE5367 05/26/2014 05/26/2015 X X MED EXP(My one Person) $10,000 PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PR0. [—X] LOC ECT PRODUCTS -COMPUP AGO $2, 000, 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (E Ea acckeM) $ BODILY INJURY (Per Person) $ ANY AUTO BODILY INJURY (Per a¢idem) $ ALLOMED SCHEDULED AUTOS AUTOS NONOWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (Per Scotian() $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DE RETENnON$ x'Ol[£LSNMPENSnTroN AND EVPLOIPBS (.)a6O.I/ P ANY PROPRIETORIPARTNERIEXECUTIVEYM PER OTH- uTgME ER E.L. EACH ACCIDEW $ OFFICERIMEMBER EXCLUDED? ❑ (Nanoly WnNNJ WA E. L. DISEASE -EA EMPLOYEE If yea, describe under E.L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DEWRIPMNOFOPERATIONS ILMATNXVSI VEHKWDRD 101, AddXlonal Remarks Schedule, may be muche,I if more spars is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE The City O£ Fort Collins Y DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTIIORIZED REPRESENTATIVE Purchasing Dept FO BOX 580 �%� '�7�L� FORT COLLINS,I CO 80522 / / m 1988-2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) .acoRo® CERTIFICATE OF LIABILITY INSURANCE DATE(M DD/YY ) 5/17/2014 THIS CERTIFICATES 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 SUBROGATIONIS 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 endossement(s). PRODUCER LEID FINANCIAL GROUP INC/PHS 342560 P:(866) 467-8730 F:(888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 COMACL NAME: wc°xo.E.Iz (866) 467-8730 FAX w.Nce:(888) 443-6112 E �: INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Hartford Casualty Ins Co tNSURNED LYNNETTE KEIM DBA ALL AMERICAN BACKFLOW 215 E 2ND ST LOVELAND CO 80537 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F. 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. R'SR TYPE OF LYSURANCE ADDlIsIuaA ffsR ppan%%,I, ER POLLC'YEFF D/ZMf POLlCYEXP LDIfF(3' COMMERCIAL GENERAL LUIBILRY EACH OCCURRENCE $1, 000, 000 CLAIMS+dADE OCCUR DAWGE TO PREMISES (Ea oworrence)s300, 000 X X MED EXP(Any one person) s10, 000 A General Liab 34 SBA PE5367 05/26/2014 05/26/2015 PERSONAL B ADV INJURY $1, 000, 000 GEN'L AGGREGATE LIMITAPPLIES PER: POLICY JECT LOG PRO-s2, GENERALAGGREGATE s2, 000, 000 PRODUCTS-COMP/OP AGG 000, 000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea amMenl) $ BODI LY INJURY Per person) g ANYAUTO AU OS SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( )s HIRED AUTOS AUTOSNON�ED AUTOS PROPERdent) GE (Par acdtlerd) s s UMBRELLA LUU1 OCCUR EACH OCCURRENCE s AGGREGATE s EXCESS LIAB CLAIMSWADE DEF ErENRONS 5 IFOXfflSCD.1DEYSaTIOF AnntvrcorEas-craaam ANY PROPRIETOR/PARTNER/EXECUTIVEYIN OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) ,PA PER OTH- b AME Ee E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE s If yes, describe under DESCRIPTION OF OPERATIONS belay E.L. DISEASE -POLICY LIMIT s DESCRMMNOFOPERATIONS/LOCATIONSIVEHXPMRD 101, AddXlonal Romarks Schedule, may beaffachsd if mom space is roquired) Those usual to the Insured's Operations. City of Fort Collins are Additional Insured per the Business Liability Coverage Form SS0008. reMrIoI rl ..,.r ....., t City of Fort Collins 215 N MASON ST FORT COLLINS, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORDED REPRESENTATIVE 7a-z- ad. -•-- -- 1-- •-••• v I -10., wmu name anu fogO are reglstere0 marKs Of ACOHU