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HomeMy WebLinkAbout100753 AQUATICS ASSOCIATES INC - INSURANCE CERTIFICATEAQUAT-1 OP ID: DA CERTIFICATE OF LIABILITY INSURANCE 12/311 YYY) DAT1212 3114 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 .CONTACT PRODUCER Phone: 970-482-7747 Brown & Brown Inc Fax: 970-484-0165 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account NAME: PHONE FA% Arc No Ean: lac No): E-MAIL . ADDRESS: INSURERS AFFORDING COVERAGE NAIC Y INSURER A: PInnacol Assurance Company 41190 INSURED Aquatics Associates, Inc. INSURER B:Scottsdale Insurance Company 41297 Tami Schneck 3013 E Mulberry St INSURER C: Hartford Underwriters Ins Co 30104 Ft Collins, CO 80524 INSURER D: 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 LTR TYPE OF INSURANCE L SUB POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X CPS2131668 01/01/15 01/01/16 DAMAG€r ENTED PREMISES Esoccurrence E 100,00 MED EXP (Any one person) $ 5,00 PERSONAL S ADV INJURY $ 1,000,00 GENERAL AGGREGATE E 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGO $ 1,000,00 POLICY PRO- LOC $ LIABILITY COMBINED SINGLE LIMIT EOMOBILE 1,000,00CANY AUTO X 34UECAQ4574 01/01/16 01/01/16ALLOWNED P X SCHEDULEDBODILY AUTOS AUTOSHIRED INJURY (Per acciOenQ E PROPERTY DAMAGE Per accident E AUTOS X NON -OWNED AUTOS E UMBRELLA LUIB OCCUR EACH OCCURRENCE E AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION I WC STATU- OTH- A AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? NIA 2218672 01/01/16 01/01/16 TORY LIMI E.L. EACH ACCIDENT $ 500,00 E. L. DISEASE EA EMPLOYEE $ 500,00 (Mandatory In NH) If yes, desanbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 _ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANach ACORD 101, Additional Remarks Schedule, If more space Is required) jstephen@fcgov.c= 970-221-6777 CITFORT City of Fort Collins Purchasing John Stephen 215 North Mason 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 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD No Text