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HomeMy WebLinkAboutSHEPLER ENTERPRISES LLC DBA NOMAD STREET CUISINE & - INSURANCE CERTIFICATE3/30/2015 9:46 AM FROM: Fax John C Beckett and Associates TO: 2246134 PAGE: 001 OF 001 .4CO R" CERTIFICATE OF LIABILITY INSURANCE �� DDO" /3015 03/30/2015 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 certificate holder in lieu of such endorsements . PRODUCER JOHN C. BECKETT & ASSOCIATES, INC. Smith StreetE-MAILADDRESS Ft. Collins CO 80524- CONTACT NAME'. PNONo. (970) 484-2805 Ext AIC No: (970) 484-2885 AIC.220 tim@beckettinsurance.com INSURER(S) AFFORDING COVERAGE NAIC i INSURERA:Sentinel Insurance Company 1000 INSURED SHEPLER ENTERPRISES T-T DBA NOMAD STREET CUISINE & ELEGANT EVENTS 517 WOOD ST LAR TMRR CO FORT COLLINS CO 80521— INSURERBAr'tisan & Truckers Casualty INSURER C. INSURER D : INSURER E INSURERF: 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. LTR TYPE OF INSURANCE A POLICY NUMBER MMIDDIYEYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY }j 34SaAPP6295 1/21/2015 1/21/2016 EACH OCCURRENCE $ 2000000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR / / / / / / / / tNItU PR MISES Ea occurrence 2000000 MED EKF (Any one person) S 5000 PERSONAL &ADV INJURY $ 2000000 GENERAL AGGREGATE $ 4000000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 4000000 / / / / 7 rOUCY PRO LOC / / / / DELI $ 10000 B AUTOMOBILE LIABILITY 01365073-2 2 13 2015 6 13 2015 (Ea accident) I 1000000 BODILY INJURY (Per person) $ ANY AUTO / / / / ALL OVMIEDF;X71 SCHEDULED AUTOS AUTOS / / / / BODILY INJURY (Per accident) $ NON-OVINED HIRED AUTOS AUTOS / / / / PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAR OCCUR NO COVERAGE / / / / EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE / / / / AGGREGATE $ DED FETENTION$ / / / / $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNEREXECUTIVE NO COVERAGE / / / / / / / / VVC STATU- OTH- Y E L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) NIA EL DISEASE - EA EMPLOYE $ Ir s, describe under DESCRIPTION OF OPERATIONS below / / / / EL DISEASE- POLICY LIMIT $ O COVERAGE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Scheduleif more space is required) CERTIFICATE HOLDER CANCELLATION (970) 221-6775 CITY OF FORT COLLINS ACCOUNTING DEPARTIblIENT PO BOX 580 FORT COLLINS CO 80522-0580 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 �r ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025;2olooe,ol The ACORD name and logo are registered marks of ACORD