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HomeMy WebLinkAboutCOKAN ENTERPRISES INC - INSURANCE CERTIFICATE (2)Ac"R" CERTIFICATE OF LIABILITY INSURANCE DATE TE( WDDNYY 018Y) 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 CONTACT NAME: Kathy Casper Insurance Planning Inc. PNONE (785) 625-5605 FAAXX IC No: (785)625-8388 3006 Broadway AvenueE-MAIL ka�insurance- -planning. co ADDRESS: cas P P g • m_ P . 0. BOX 100 INSURERS AFFORDING COVERAGE NAIC M Hays KS 67601 INSURERA:National American Insurance Co INSURED INSURERB:National Indemnity Company 20087 _ COKan Enterprises Inc. INSURERC: 13831 County Line Road 22 INSURERD: l Fort Lupton CO 80621 I INSURERF: I I COVFRAGFS CFRTIFICATF NIINIRFR•l8/l9 Undated Carts RGVICIr1N NIIIURFR- 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY E IF LIMBS LTR POLICY NUMBER MM DD YY MM D N R COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE ❑X OCCUR TED PREMISES (Ea oDAMAGE To ccurrence) $ 100,000 MED EXP (Any one person) $ 5,000 MP12690305 6/27/2018 6/27/2019 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY a JE� LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ $ B ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS 70APS082277 9/13/2018 9/13/2019 BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ HIRED AUTOS h NON -OWNED AUTOS - UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- TA E ER ANY PROPRIETOPJPARTNER/EY.ECUTIVE OFFICERIMEMBER EXCLUDED? El NIA NSA EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If as, describe under DESCRIPTION OF OPERATIONS below $ E.L. DISEASE - POLICY LIMIT 1 A Leased/Rented Equipment PR17890005 6/27/2018 6/27/2019 Limit $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured in favor of the City of Fort Collins in regards to General Liability as their interest may appear. L;t:H I IrH;A 1 t_ MULUtFi (;ANUt:LLA I IUN (970)224-6134 City of Fort Collins 281 North College Fort Collins, CO 80524 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 Kathy Casper/CASPKAcc ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)