HomeMy WebLinkAbout474788 ALL STRIPES & MAINTENANCE LLC - INSURANCE CERTIFICATE (5)CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE 15 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(les) 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
PRODUCER Liberty Mutual Insurance
PO Box 188065
Fairfield, OH 45018
INSURED
All Stripes & Maintenance LLC
PO Box 1399
Fort Collins CO 80522
COVERAGES CERTIFICATE NUMBER: 233glaR6 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.
ILTTRR
TYPEOFIXSUXANCE
POLICY NUMBER
POl1CY F
Pg Y!%P
DD
LXIITB
A
✓
I COIMERCW.OENWALLMILIT'Y
LUIM6MADE O OCCUR
✓
SKESSS 858
2(28/2015
2128/2016
EACHOCCURRENCE
E 1,000.000
Pq MI
$ 300,000
MED EXP An M
$ 15,000
PERSONAL& ADV INJURY
$ 1,000,000
GEIRL AGGREGATE LIMIT APPLIES PER:
✓ POLICY jECT11 LCG
OTHER:
GENERAL AGGREGATE
$ 2,BDO.DDD
PRODUCTS-COMP/OPAGG
$ 2,DOO,DDD
E
AUTOMOBILE
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OCCUR
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EACH OCCURRENCE
$
AGGREGATE
$
DED
RETENNON
j
WORKCRB COMPIXBATIOX
AND EMPLOYERS' UJUMMY Y/X
ANYPROPRIETORSPARTHEREECUTIVE
OFFICERIMEMBER EXCLUDED?
IWUDDENS, in i
oE,4CA1 n u OPERATION IJPm
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$
E.-DISEASE EAEMPLOY
$
EI DISEASE -F0.ICY LIMIT
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DESCRIPTION OF OPERATIONS LOCATIONS I VIHI M (ACORO tm, AMnImM Rmuhe Schedule, my M eNched a mono ymub mryeaCt
Certificate Holder is Additional Insured If required by written contract or written agreement subject to General Liability Blanket Additional
Insured Provision.
Cityof Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Purhasing Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO BOX 59 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins CO 80522
AUTHORIZED REPRESENTATIVE
reserved.
ACORO ZB (ZERWI11) The ACORD name and logo ere registered marks of ACORD
C¢RS Mdd" 1650 LL[ENS COST: 55059650 Alyeee AMaceo. 2/9/2015 9:32:30 ON (PST) Page 1 1E L