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Home My WebLink About124948 TOP GUN PRESSURE WASHING INC - INSURANCE CERTIFICATE (14)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD Y ) 111 7/12014 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: PHONE I FAX NC No: Olson & Olson Ltd GreenwoodS. Yosemite St. #101 GreeVillage CO 80111 EeA`L ADOREss: INSURERS AFFORDING COVERAGE NAICIt INSURER A: INSURED TOPGU-1 INSURER B:AMenCan Select Insurance Comp 19992 INSURERC: Top Gun Pressure Washing, Inc. 500 W. 67th Avenue Loveland CO 80538 INSURERD: INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 728331904 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 LTR TYPE OF INSURANCE ADDLSUSR INSR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDMI OMITS B GENERAL LIABILITY rRA6418137 //12014 112015 EACH OCCURRENCE S1000000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $100,000 CIAIMSMADE ITI OCCUR MED EkP (Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $200001X) $ POLICY X PRO, LOG B AUTOMOBILE LIABILITY TRA6418137 7/12014 /12015 COMBINED SINGLE LIMIT Ea accIdenti $1 000.000 X BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accitlent) $ X PROPERTY DAMAGE Per accklent $ NON -OWNED HIRED AUTOS X AUTOS S B X UMBRELLA LAB X OCCUR TRA6418137 /12014 /l2015 EACH OCCURRENCE $5,000.000 AGGREGATE $5.000,000 EXCESS LIAR CLAIMS -MADE DED RETENTION SN/A $ A WORKERS COMPENSATION AND EMPLOYERS' LIABLITY YIN 4031609 7112014 /12015 X WC STATU- OTH- TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE OFFICEMMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT 31,000,000 E.L. DISEASE--EAEMPLOYE $1,000.000 (Mandatory In NH) If yes, des rf,e under DE SCRIPTION OF OPERATIONS below E. L. DISEASE POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Ramarke Schedule, if more apace is ,"uired) Certificate Holder and those listed below(if any) are Additional Insureds as respects General Liability and Umbrella Liability on a Primary and Non -Contributory basis, and Auto Liability only if required by written contract or agreement and coverage applies only as respects work performed by the Insured for the Additional Insureds. All coverage terms, conditions, and exclusions of the policy apply. The Worker's Compensation, General Liability, Auto Liability, and Umbrella Liability policies include a Waiver of Subrogation in favor of the Additional Insureds only if required by written contract or agreement. Contract Work. Additional Insured(s): The City, its officers, agents and employees. City of Fort Collins Purchasing Department, Attn: John Stevens P.O. Box 580 Fort Collins CO 80522-0580 Lee�eLeaMMaulBc. 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 ACORD 26 (2010/06) The ACORD name and logo are registered marks of ACORD