The URL can be used to link to this page

Home My WebLink About125947 PTACEK ENTERPRISES INC DBA BATTERIES PLUS - INSURANCE CERTIFICATE (2)Client#: 33281 BPPTAI ACORDT,. CERTIFICATE OF LIABILITY INSURANCE DATE 7/2312ID/23/2014 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 endorsement(s). PRODUCER NAME; CONTACT Penny Wilhelm Molyneaux Insurance, Inc. PHONE FAX NC No Ext :INC.63 324-10115633247909 No 100 Kirkwood Blvd. E-MAIL P.O. Box 939 ADDRESS: Davenport, IA 52805 INSURERS) AFFORDING COVERAGE NAICr INSURERA: The Travelers Indemnity Co. of 25666 INSURED INSURER B. The Travelers Indemnity Company 25658 Ptacek Enterprises, Inc. INSURER C : Charter Oak Fire Insurance Comp 25615 Batteries Plus The Phoenix Insurance C Company INSURER D: om 25623 10 110 7 W. Drake, Unit E-3 Fort Collins, CO 80526 INSURERS: INSURER t 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 CONTRACTOR 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 OFINSURANCE ADDL INSR SUER POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD1YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR 6802289W988 8/0812014 08/08/2015 EACH OCCURRENCE E2000000 RE MISES ERiNT.Errenco $300000 MED EXP (Any one person) $5 000 PERSONAL B ADV INJURY $2000000 GENERAL AGGREGATE $4,000,000 GENT AGGREGATE POLICY LIMIT APPLIES PER: jEa LOC PRODUCTS - COMPIOPAGG E4,000,000 $ D AUTOMOBILE X LIABILITY ANY AUTO ALL OWN ED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON.6WNED AUTOS BA615D3648 8108/2014 08/081201E COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ X PROPERTY DAMAGE Per accident E E B UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS -MADE CUP2061W503 8/08/2014 0810812015 EACH OCCURRENCE $1 000000 AGGREGATE $1000000 DED I X I RETENTION E5000 $ C WORKERS COMPENSATION AND EMPLOYERS' LVU3ILRY Y I NER ANY PPOPPmTORmAPTNFPIFXF,CUTIVE OFFICERIMEMBER EXCLUDEDV (Myandatory In NH) d scribe under DyBCRIPTION OF OPERATIONS below NIA IJU8629D6856 8/08/2014 08I08/201 X WC STATU- OTH- E.I.. EACH ACCIDENT E1.000.000 E L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT $1 OOO OOO DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mare specs Is required) Fort Collins Utilities 700 Wood St. Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE 1AAR.9Mn ACnDn CnDDn PATInkI All Ank.. .e�.......w ACORD 25 (2010/05) 1 Oft The ACORD name and logo are registered marks of ACORD #S976261M97623 lep S