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Home My WebLink About157778 BOBBAR INC DBA SCOTCHIES CLEANERS - INSURANCE CERTIFICATE (2)BOBBA-4 OP ID: BA ,4t`c�o�ro CERTIFICATE OF LIABILITY INSURANCE D07/09ATE /2014 ) 07/09/2014 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 endorsements . PRODUCER PFS Insurance Group - JT 4848 Thompson Pkwy, Ste 200 Johnstown, CO 80534 Johnstown Select Accounts CONTACT NAME: PHONE FA% INC. No Ext : (aC No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC k INSURER A: Continental Western Group INSURED Bobbar, Inc dba Scotchie's Cleaners INSURER B: Bob Baier & Barb Knappe INSURER C: 1827 E. Mulberry St. INSURERD: INSURER E: Fort Collins, CO 80524 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 POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM1ODNYYY1 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX] OCCUR CPA2894488 08/01/2014 08/01/2015 EACH OCCURRENCE RENTED— AMAGETaoccurrence PREMISES $ 1,000,000 $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FI PECTRO- 1-1 LOC PRODUCTS - COMP/OP AGO $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED COMBINED SINGLE LIMIT Ea accideJ $ BODILY INJURY (Per person) $ I BODILY INJURY Per accident) $ PROPERTY DAMAGE PER ACCIDENT) IS A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE CPA2894488 08/01/2014 08/01/2015 EACH OCCURRENCE AGGREGATE ON$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? (Mandatory in NH) desame under DESCRIPTION OF OPERATIONS bolmr N/AE.L. N/AOFFICER/MEMBER WC STATU- OTH- TORY LIMIT$ R 0$2�,,000�,,000 EACH ACCIDENT E.L. DISEASE - EA EMPLOYEEI/yyes E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more apace is required) CITYFCI City of Fort Collins Purchasing Dept P.O. Box 580 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 4d"wn U 1938-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD