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HomeMy WebLinkAbout474788 ALL STRIPES & MAINTENANCE LLC - INSURANCE CERTIFICATE (4)ALLSTRI-01 MTUSINSKI 141 CERTIFICATE OF LIABILITY INSURANCE �i" DATE 11/25/201 YY) 11/25/2014 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 ' LOngmOnt;'GD"B0$02 CONTACT NAME' Tanya Aschenbrenner PHONE FAX A/c No. Ea1:(303) 776-5122 ac No: (303) 776r5495 . E-MAIL TAschenbrenner@ ntrueorthcom anies.com_ - ADDRESS: p INSURERIS) AFFORDING COVERAGE _ _ . NAIC# INSURER A:Ohio Security Insurance Company 24082 INSURED INSURER B:Owners Insurance Company 32700 _ All Stripes 8 Maintenance, LLC dba Rocky Mountain MSURERC:Auto Owners Insurance Company 18988 Sweeping P O Box 1399 INSURER D: Fort Collins, CO 80522 INSURER E: 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 TYPE OF INSURANCE AODZSUMe BR POLICY NUMBER MMIDD/YYYYLICY EFF MMIDD/VYYYLICY EXP LIMITS R A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMSWADE X OCCUR BKS55859658 02/28/2014 02/28/2015 PREMISES EeoNimcel 00,00 MED EXP (Any one person) $ -_ 15,000 PERSONAL B ADV INJURY _ $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE'- 8__ 2,000,00 - PRO POLICY ❑ JECTPRO- ❑ LOC PRODUCTS - COMPIOP AGO $ 2,000,00 $ OTHER AUTOMOBILE LIABILITY �� - - COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ B X ANY AUTO - 4825658700 01/08/2015 01/08/2016 ALL OWNED SCHEDULED' AUTOS AUTOS .. BODILY INJURY (Per accident) $ Perr accidentOAMAGE (Per S NON-OHIRED AUTOS AUTOS $ �II��II X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ C EXCESS LIAB CLAIMS -MADE 4825658701 04/02/2014 04/02/2015 DED X RETENTION$ 10,000 $ 2,000,00 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NiA PER OTH- STATUTE ER E.L. EACH ACCIDENT_ $ '-- EL. DIS .EASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate Holder is Additional Insured under the General Liability per written contract. City of Fort Collins Purchasing Division PO Box 58 Fort Collins, CO 80522 PJ1L'L9asIL'1LL9[I 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 R ,"A * © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD