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Home My WebLink About357006 ALL AMERICAN BACKFLOW - INSURANCE CERTIFICATE (9)Phone:(970)221-6223 ACORTO® CERTIFICATE OF LIABILITY INSURANCE �/ °ATE'""-D 08/20/2014 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(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 CONTACT NAME: Heidi Mcbroome PMC. No ExtI HONE 970-378-4818 FAXN<: 970.378 4820 Security Insurance Group LLC ADDRIESS: sig@securityinsurancegroup.net 8219 W 20th St., Ste A INSURERS AFFORDING COVERAGE NAILS Greeley, CO 80634 INSURER A: Allstate Insurance Company INSURED INSURER B: INSURER C: Lynnette Keim INSURER D: 215 E 2nd St INSURER E: Loveland, CO 80537-5626 INSURER F : COVERAGES CERTIFICATE NUMBER: 00002365-76941 REVISION NUMBER: 2 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 MAYBE 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 ADD SUER POLICY NUMBER POLICY SEE MMIDDIYYYY POLICY EXP MMIDDAIYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMSMADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISE RENTS occurrence) $ MED EXP (Anyone person) $ PERSONAL B ADVINJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE POLICY LIMIT APPLIES PER PRO, LOC IFCT PRODUCTS - COMPIOP AGO $ S A AUTOMOBILE it it LIABILITY ANY AUTO ALL SCHEDULED AUTOS AUTOS HIRED AUTOS NONSEED 976517567 06/01/2014 12/01/2014 COBINED SINGLE LIMIT BODILY INJURY (Per person) $ 30000 BODILY INJURY(Peramdent) $ 500000 Perr a¢iden DAMAGE $ 300000 S UMBRELLA LAB EXCESS LIAR OCCUR CLAIMSMADE EACH OCCURRENCE S AGGREGATE 3 DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE PA OFFICEREMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS belay NIA VvCSTATU- OTH- E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT $ DESCRIPTONOFOPERATIONS1LOCATIONSIVEHICLES(AMaah ACORD101,Additonal Remarks Schedule.BmomsPa isregwmdl 1995 GMC JIMMY City of Fort Collins is listed as additional insured on the auto policy The City of Fort Collins Purchasing Department PO 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 MTH THE POLICY PROVISIONS. All Nnht< ro<nwnd ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Printed by HLM on August 20, 2014 at 01:03PM