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HomeMy WebLinkAbout459545 HOMELAND FENCE - INSURANCE CERTIFICATELESOCON-01 MTUSINSKI ACo/ZO" CERTIFICATE OF LIABILITY INSURANCE �� DATE IMMDDIYYYYI 6/2712014 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 endorsement(s). PRODUCER -- - TrueNorth '- PO BOX 847-�'� `' -' "- 1 Longmont, CO 80502 CONTACT NAME: Michelle Tusinski PNGNE (303) 776-5122 - ac ao1: (303).776-5495 aC No Eat: - _ ADDRESS: mtusinski@truenorthcompaniei.com _ INSURER(S) AFFORDING COVERAGE NAICN INSURER A:ACUITYAMutual Insurance Company 14184 INSURED INSURER B INSURER C: Stephen Lesondak; dba Homeland Fence & Construction 6204 Jack Pine Drive INSURER D: INSURER E: Bellvue, CO 80512 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 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. I LTR LTR TYPE OF INSURANCE AI.qDDL�50D POLICY NUMBER MMIDDNYri IY MMIDDYYY LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMSWADE a OCCUR L87231 - 0612412014 - 06i2412015 EACH OCCURRENCE s 1,000,00 PREMISES Ea occurrenceI s 100,00 MED EXP (Any one person) Is 6,00 PERSONAL & ADV INJURY $. 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOG JECT ' OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY _ ANY AUTO ALL ryy�SCHEDULED AUTOS AUTOSIH' NON OWNED HIRED AUTOS AUTOS L87231 "' " - 06124/2014 06/24/2015 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident)$ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CI -AIMS -MADE EACH OCCU RRENCE $ AGGREGATE $ DEO I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IINI ANY PROPRIETORIPARTNERIEXECUTIVE Y^ OFFICERIMEMBER EXCLUDED? LJ (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below NIA STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEEa E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Fort Collins is named as additional Insured In regards to General Liability only with City Issued permit. (CB•7028) CFRTIFICATF Hnl nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Purchasing tY g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. John Stevens PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD