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HomeMy WebLinkAboutTHE GOODNESS LLC - INSURANCE CERTIFICATEGOODN-1 OP ID: P5 . llla 0 CERTIFICATE OF LIABILITY INSURANCE `� D0411612ATE Y5 04/16I2015 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 Brown 8 Brown Inc 4532 Boardwalk Dr, Suite 200 Fort Collins, CO 80525 House Account CONTACT NAME: House Account PHONE FAX JAIC No. Eat): 970-482-7747 No: 970-484-4165 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIL t INSURER A: Westfield Insurance Company 24112 INSURED The Goodness, LLC INSURERS: 3519 Patterson Court Fort Collins, CO 80526 INSURERC: INSURER 0 : 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. IR' LTR LT TYPE OF INSURANCE INSD SUB POLICY NUMBER MM D D /YYYY MMID YYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,00 CLAIMS -MADE a OCCUR it CWP037$910 04/22/2015 0422/2016 DAMAGE 70 RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY1:1 JE O- LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ OTHER: AUTOMOBILE LIABILrrY Ea eBIINOEDtSINGLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ A ANY AUTO CWP0375910 04f22=,S 04122=10 ALL OWNED X SCHEODULED AUTOS AUT S BODILY INJURY (Pet accident) $ PROPERTY DAMAGE (Par scddent $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PER TH- STATUTE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ED NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes describe under DESCRIPTION OF OPERATIONS below --- E.L. DISEASE - POLICY LIMIT - -- $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101 Additional Remarks Schedule may be attached If moms ace Is required) ( Y P City of Fort Collins is included as additional insured regarding commercial general liability per CG2012 FAX: 970-221-6782 CITYF10 City of Fort Collins 215 N. Mason St. Fort Collins, CO 80521 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 House Account ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD