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HomeMy WebLinkAbout129790 THE FEET INC - INSURANCE CERTIFICATE (10)FEET-01 OP ID: JD CERTIFICATE OF LIABILITY INSURANCE DAT06/09DIYYYY) os/osna 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 Phone: 970-482-7747 Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fax: 970.484-4165 Fort Collins, CO 80525 Tyler B. Allen O CONTACT NAME: FAX gICNNo Ext INC. No): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE MARC N INSURER A: United Specialty Insurance Co. 12537 INSURED The Feet, Inc. Velocity Boys, Inc. 622 Sherry Drive Fort Collins, CO 80524 INSURER B : Pinnacol Assurance Company 41190 INSURER C : AGCS Marine Insurance Co. 22837 INSURER D: Praetorian Insurance Co. 37257 INSURER E: Philadelphia Indemnity Ins Co 18058 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 POLICY NUMBER POLICY EFF MMIDD/YYYV1 POLICY EXP (MMIDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 D X COMMERCIALGENERALLIABIUTY CLAIMS -MADE 1XI OCCUR PICC00003788 08115/13 08115114 PREMISES Ea occumance $ 100,000 MED EXP(My one Person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO-IFCT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ D ANY AUTO PICC00003788 08115113 08115114 ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY aodtlent ) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X AGGREGATE Is 2,000,00 A EXCESS LIAB CLAIMS -MADE USA4000159 08115/13 08115114 DEO I I RETENTION$ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER,EXECUTIVE YIN OFFICER(MEMBER EXCLUDED? FYI NIA 3534074 07101/14 07/01/15 WC STATU- OTH- X T RY MIT R EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory In NH) If yes, descliF OPERATIONS below he untler DESCRIPTION O E.L. DISEASE -POLICY LIMIT $ 1,000,000 E Empl Dish PHSD945385 05128114 05128115 Limit 250,000 C TranSICargo MZ198470793 02/15/14 02/15/15 Limit 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The City of Port Collins is included as an additional insured per conditions and forme shown on page 2. City of Fort Collins Purchasing Division Attn: Jim Hume PO Box 580 Fort Collins, CO 80522-0580 CITYDIV 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 ACORD 25 (2010105) n 1OHR-2010 The ACORD name and logo are registered marks of ACORD All rin Me —.—A No Text