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HomeMy WebLinkAbout100753 AQUATICS ASSOCIATES INC - INSURANCE CERTIFICATE (3)AQUAT-1 OP ID: DA ,�acoRo CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDIYYYY) 03/20/2015 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 PRODUCER Brown & Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account FAX (Arc, No): _ INSURER A:Pinnacol Assurance Company 41190 INSURED Aquatics Associates, Inc. INSURER S:Scottsdale Insurance Company 41297 Tami Schneck INSURER C: Hartford Underwriters Ins Co 30104 3013 E Mulberry St Ft Collins, CO 80524 INSURERD: 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 INSURANCEADDL US POLICY NUMBER POLICY EFF MM/D POLICY EXP M LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABILITY X PS2131668 01/01/2015 01/01/2016 $ 100,00 PREMISES Ea ocamenca CLAIMS -MADE Fx_1 OCCUR MED EXP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,00 POLICY PRO LOC $ AUTOMO&� LIABILITY COMBINED SINGLE LIMIT COMBINEDaccident 11000,00 BODILY INJURY (Per person) $ C ANY AUTO X 34UECAQ4574 01/01/2016 01/01/2016 ALL OWNED X SCHEDULED AUTOS AUTOS $ BODILY INJURY (Per accident) PROPERTY DAMAGE PER ACCIDENT) X HIRED AUTOS )( NON -OWNED AUTOS $ a UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIM MADE DIED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- I OTH- TRYML- A AND EMPLOYERS' LU\BIL)TYLiMmS ANY PROPRIETOR/PARTNER/EXECtJTIVE YIN 2218672 01/01/2015 01/01/2016 E.L. EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEES 600,00 If yes, tleacnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) jstephen@fcgov.com 970-221-6777 C ITFORT 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 V NOTEPAD AQUAT-1 PAGE 2 INSURED'S NAME Aquatics Associates, Inc. OP ID: DA Daw 03/20/2015 required by written contract the following applies: t Additional Insured - GLS150 07-06 t Additional Insured - Automobile-HA9916 03-12