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HomeMy WebLinkAbout110222 ROCKY MOUNTAIN SWEEPING LLC - INSURANCE CERTIFICATEALLSTRI-01 MTUSINSKI '4��`" CERTIFICATE OF LIABILITY INSURANCE DAT2/9/2015 (MMIDDfYYYY) 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, CO 80502 INSURED All Stripes & Maintenance, LLC dba Rocky Mountain Sweeping P O Box 1399 Fort Collins, CO 80522 INSURER F Aschenbrenner 776-5122 F.AxNm.1303)776-5495 INSURER(S) AFFORDING COVERAGE NAIC # Ohio Security Insurance Company 24082 Owners Insurance Company 32700 Auto Owners Insurance Comaanv 18988 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 POLICYNUMBER EFF MMDDYIYYYY POLICY P MMDDtYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR BKS55859658 02/28/2015 02128/2016,PREMISES EACH OCCURRENCE $ 1,000,00 Ea1=Mnce $ 300+00 MED EXP (Any one person) $ 15,0 PERSONAL & ADV INJURY S 1,000,0 GENT AGGREGATE LIMIT APPLIES PER: X POLICY PRO OTHER: JECT ❑LOC GENERAL AGGREGATE $ 2,000,00 PRODUCTS AGO $ 2,000,0011 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS HAUTOS 4825658700 01/08/2015 01/08/2016 COMBINED SINGLE LIMIT Ea accident $ 1 00O 0O + + BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per aaadent $ 8 C X UMBRELLALIAB EXCESSLIAB X OCCUR CLAIMS -MADE 25658701 04/02/2014 04/02/2015 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 DIED I X I RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PERT OTH- STUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT I $ DESCRIPTION OF OPERATIONS / LOCATIONS / 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Division P O Box 58 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD