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HomeMy WebLinkAbout273449 PONDER COMPANY INC - INSURANCE CERTIFICATEACIOR " CERTIFICATE OF LIABILITY INSURANCE 9%E(MWDD aY) 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 endomement(s). PRODUCER Edmond, Deaton S Stephens 5625 Fulton Amarillo TX. 79109 CONTACT Susan Kirkland, CRIS, ACSR NAME: PHONE (806)356-6000 1FAX o.(306)356-0615 E-MAIL .susan@edsinsurance. corn INSURERS AFFORDING COVERAGE NAIC It INSURER A Travelers Insurance CO.- C/L INSURED 441) Ponder Company, Inc. a-13 1545 W Tufts Ave, Unit B En lewood CO 80110 INSURER B'Argonaut INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 Colorado 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 TYPE OF INSURANCE DL POLICY NUMBER POLICY EFF IMM/DDiYYYYI POLICY EXP IMMIDDJYYYYILIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X. COMMERCIAL GENERAL LIABILITY PREMISES tEe occurrence $ 500,000 A CLAIMS -MADE Fx_1 OCCUR -660-389X9772-TIA-10 /31/2014 /31/2015 VIED EXP (Any oneperson) $ 5,000 PERSONAL 4 AOV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY _X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a ecutl nt 11000,00 X BODILY INJURY (Per person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED 3616C486 /31/2014 /31/2015 AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED HIRED AUTOS AUTOS Par accidene Uninsured motorise combinetl $ 500,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,00 $ SM-CUP6212Y708-14 /31/2014 /31/2015 B WORKERS COMPENSATION WC STATU- OTH- x I TOR LIMITS ER AND EMPLOYERS' LIABILITY Y/N E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNERMXECUTIVE OFFICERVEMBER EXCLUDED? (Mandatory In NH) N/A WC477418253474 /31/2014 /31/2015 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 'A Installation Floater -660-389X9772-TLC /2/2014 /2/2015 Lirdd$135,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is mqulratl) RE: Northside Aztlan Community Center - Rabbit Room Aerobics Floor. Certificate holder is listed as additional insured where required by written contract. City of Fort Collins P O 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 WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 25(2010/05) Phillips/SK © 1988-2010 ACORD CORPORATION. All riahts reserved. INS025 (201005),01 The ACORD name and logo are registered marks of ACORD