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Home My WebLink AboutKYTO INC - INSURANCE CERTIFICATECUSTOMERNUMBER: 0006755901 AC ROB CERTIFICATE OF LIABILITY INSURANCE DATE (MLI DD 4 �� 07/21/1 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 IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 PHARMACISTS MUTUAL INSURANCE COMPANY NAMEp� 808 HIGHWAY 18 WEST PO BOX 370 PHONE ALGONA, IA 50511-5370 (AJCNa.E.tL 800-247-5930 E-MAIL INSURED ADDRESS' INSURER n:Pharmaci St9 Mutual Insurance Company 13719 INSURER B: KVTO INC INSURER D' MOBILITY AND MORE 493 N DENVER AVE INSURER E: LOVELAND CO 80537 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 ADDL INSD SUER WVD POLICY NUMBER POLICY EFF R) (MMD/YYYY) POLICY UP (MWDDNYYY) LIMITS j{ X COMNIERCUIL GENERAL LIABILITY Y BOP 0089544 08 07/01/2014 07/01/2015 EACH OCCURRENCE s 1,000,000 CLAIMS -MADE (OCCUR Includes- Home Health Care Services Consultation Liability NTED PREMISES (EaDAMAGE To Eoccurrence) $ 250,000 MED UP (Any one pereon) $ 5, 000 PERSONAL B ADV INJURY $ INCLUDED GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY❑ JE11 ❑ LOC GENERAL AGGREGATE E 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 OTHER WATERLEGAL LIABILITY $ 50,000 A AUTOMOBILE LIABILITY N N CAU 0089544 07 07/01/2014 07/01/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per pereon) $ ANY AUTO BODILY INJURY (Per accident)s------------ AUTOS ALL OWNED PX AUTOSULED XHIRED NON -OWNED AUTOS AUTOS PROPERTY DAMAGE Per acctlent $ ____________ A X UMBRELLALIAB X OCCUR N UCL 0089544 08 07/01/2014 07/01/2015 EACH OCCURRENCE $ 1, 000,000 EXCESS LIl18 CLAIMS -MAD AGGREGATE $ 1, COO, 000 S DEO X RETENTION$10,000 $ WORKERS COMPENSATION AND PER OTH STATUTE ER EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERfMEMBER EXCLUDED? YIN (Mammary In NH) ❑ NIA E.L. EACH ACCIDENL $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, de scribe under DESCRIPTION OF OPERATIONS bel7— DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. my be attached H mom space is required) Loc:MOBILITY AND MORE 493 N DENVER AVE LOVELAND CO 80537 CERTIFICATE HOLDER CANCELLATION CERT CITY HOLDER/ADDITIONAL INSR'D OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS CO 80522 THOMAS A. QUESENBERY, CPCU 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD