HomeMy WebLinkAboutNOCO FROZEN TREATS LLC - INSURANCE CERTIFICATEKONAIA OP ID: RH
,d►c'ofzo' CERTIFICATE OF LIABILITY INSURANCE
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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