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Home My WebLink About129790 THE FEET INC - INSURANCE CERTIFICATE (11)FEET-01 OP ID: JD '416 R� CERTIFICATE OF LIABILITY INSURANCE DATE /14 Y) 081,SN4 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 Phone: 970-482-7747 Brown 8 Brown Inc 4532 Boardwalk Dr, Suite 200 Fax: 970-484-41651pJ° Fort Collins, CO 80525 Tyler B. Allen CONTACT NAME: No, E,t); A/X, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL If INSURER A:Great American E&S Ins. CO. 37532 l/^�1 �J INSURED The Feet, Inc. INSURERS:Pinnacol Assurance Company 41190 62 Shecity ry ys,Drive a 622 Sherry Drive Fort Collins, CO 80524 INSURER C:AGCS Marine Insurance Co. 22837 INSURER D: Praetorian Insurance Co. �37257 INSURER E: Philadelphia Indemnity Ins Co ,8058 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 LTft TYPE OF INSURANCE ODLUH POLICY NUMBER MM/DDNYYY MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 D X COMMERCIAL GENERAL LIABILITY PICC00004133 08115114 08115115 PREMISES II ocence $ 100,000 CLAIMS -MADE FX I OCCUR MED EXP(My one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 POLICY PRO- JECTLOC $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ D X ANYAUTO PICC00004133 08115/14 08115115 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ Perna'kl.b AMAGE $ HIRED AUTOS NON�OAUTOSWNED $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,00 X AGGREGATE $ 2,000,00 A EXCESS LIAB CLAIMS -MADE XS3306050 08115114 08115115 DED RETENTION$ O $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERrEXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? F (Mandatory In NH) N/A 3534074 07101114 07101115 X TT RYLIMU R E.L EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 II yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT i$ 1,000.000 E Empl Dish PHSD945385 05128114 05128115 Limit 250,00 C Trans/Cargo MZ193470793 02115/14 02/15115 Limit 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks schedule, If more space Is required) The City of Fort Collins is included as an additional insured per conditions and forma shown on page 2. CERTIFICATE HOLDER CANCELLATION CITYDIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division AUTHORIZED REPRESENTATIVE Attn: Jim Hume PBox 580 ,Fort Collins, CO 80522-0580 � 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD FEET-01 PAGE 2 NOTEPAD INSURED'S NAME The Feet, Inc. OP ID: JD DATE 08115114 by written contract, the following endorsements apply on a s: ral Liability: 0371 (08/09) General Liability Broadening Endorsement including Additional Insured 04 (05/09) Waiver of Transfer of Rights or Recovery Against Others To US Liability: -B (06/00) Additional Insured Endorsement Compensation: 9b Blanket Waiver of Subrogation