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HomeMy WebLinkAboutNOCO FROZEN TREATS LLC - INSURANCE CERTIFICATEKONAIA OP ID: RH ,d►c'ofzo' CERTIFICATE OF LIABILITY INSURANCE ��- DA03/20/2014Y) 03/20/2014 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(les) 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 endorsemeril(s). PRODUCER Renaissance Insurance Group P O Box 478 - CONTACT Michael T Ball PHONE FAx = N, PH:970.674-8825 FAX Ne : 970$74$826 101 E Main Street Windsor, CO 80550 EMAIL mball@reninsurance.com ADOfiE55: INSURER(S) AFFORDING COVERAGE NAIC0 Michael T Ball INSURERA:Allied Insurance Company INSURED NoCo Frozen Treats, LLC dba Kona Ice of Northern Colorado INSURER B: 7939 Allott Ave INSURER C: INSURER D: Ft Collins, CO 80525 INSURER E 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 OF INSURANCE ADDITYPE SUBR POLICYNUMBER MNA0OYYYYY M VUp YEXP LIMITS A X COMMERCIALGENERALLUMENUTY CLAIMS -MADE rX ] OCCUR X ACPGLA03006572685 03/09/2014 03109/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ela c rence 5 100,00 MED EXP (Any we Person) $ 5,00 GENT PERSONAL S ADV INJURY $ 1,000,00 AGGREGATE U MIT APPLIES PER: PRO - POLICY PRO- JECT ❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,00 X PRODUCTS - COMPIOP AGG $ 2.000,00 $ A AUTOMOBILE LDIBIUTY X ANY AUTO ALL AUTOS AUTOS X HIRED AUTOS X AUTOS ACPBAPC3006572685 03109/2014 0310912015 COMBINED SINGLE LIMIT Eaacddem $ 1,000,00 BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ (Par aPR� DAMAGE $ E A X UMBRELLA UAB EXCESSLIAS OCCUR CLAIMS -MADE ACP3006572685 03/09/2014 0310912015 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DED X RETENTION$ D $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/FXECUTIVE ❑NIA OFFICER I,IEMBER EXCLUDED? (Mandatory In NH) If yes, destfiEe under DESCRIPTION OF OPERATIONS IcIn. PER OTH. STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE EA EMPLOYE $ E.L. DISEASE POLICY LIMIT $ A Crime ACP3006572685 0310912014 03109/2015 5,0010 DESCRIPTION OF OPERATIONS I LOCARONS I VEHICLES (ACORD I OI, AddMl I Romero EC uM, may M amcnad H more *pep Is r*Rulmd) P1RitlIa Dffi\19 City of Fort Collins 215 N. Mason Street 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. AUTHORIZED REPRESENTATNE I f � ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD