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Home My WebLink AboutWILLMARK ENTERPRISES INC - INSURANCE CERTIFICATE,acoRo® CERTIFICATE OF LIABILITY INSURANCE Ill7/2/2014 DATE (MMDD/YYYY) 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: N 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 CONTACT Racie Holgate NAMEMoody Insurance Agency, Inc. 8055 East Tufts Avenue FHONE (303) 824-6600 FNAcx Re: (103)170-0118 E-MAIL . kacie. holgate@moodyins. com Suite 1000 INSURERS AFFORDING COVERAGE NAICA INSURER A Bituminous Casualty Corp 02075 Denver CO 80237 INSURED INSURERB: Pinnaeol Assurance 41190 INSURER C: Willmark Enterprises, Inc. INSURER D: P Q BOX 120 INSURER E Firestone CO 80520 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 No Forma REVISION NIIMRER- 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. INSRLTR TYPE OF INSURANCE I L UB POLICY NUMBER MWDD/YYYY POLICY EFF M61RID/YCY YXYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CLP3606789 /1/2014 /1/2015 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED UP (Any one person $ 51000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 X POLICY PRO F I LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 11000,000 X BODILY INJURY (Per person) $ A ANY AUTO AUTOSNED SCHEDULED OS P3606790 _ /1/2014 /1/2015 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per awidenl $ _ir $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 11000,000 AGGREGATE $ 11000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,00 $ CUP2806284 /1/2014 /1/2015 B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNER,EXECUTIVE OFFICEWMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N/A - 059734 /1/2019 /1/2015 X WC STATU- OTH- E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE -EA EMPLOYE $ 1,000,000 ELDISEA$E-POLICYLWIT $ 1 000 ODD DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 8 more apace is required) City of Fort Collins 300 LaPorte Ave Fort Collins, CO 80521 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 25 (2010/05) E Threlkeld, CRIS/RAC 01988-2010 ACORD INS025 (201005).01 The ACORD name and logo are registered marks of ACORD All rights reserved.