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567543 ELITE INDUSTRIES INC - INSURANCE CERTIFICATE (3)
—'� ELITIND-02 SUZANNEH ACORO CERTIFICATE OF LIABILITY INSURANCE D 1019/2018 ) 10/19/2018 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 have ADDITIONAL INSURED provisions or 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 Joe Anderson NAME: I0 Greenwood Plaza Blvd. (AICNo, Ext►: (720) 212-2029 A/C, No►:(303) 799-0156 5 6 Suite 500ibmDAR'Jss.JoeA@thinkccig.com Greenwood Village, CO 80111 , „_... INSURED Elite Industries Inc. 2401 S. Downing St. Fort Collins, CO 80522 C COVFRAGFS CFRTIFICATF NI IMRFR• RFVISIl1N NI IMRFR- 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 CONTRACTOR 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 LIR TYPE OF INSURANCE ADDLINSD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X CWP9647699 03/01/2018 03/01/2019 EACH OCCURRENCE $ 1,000,000 $ 500,000 PAMAGETREMISESO aEcTED MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X JECT �X LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 I OTHER I $ A AUTOMOBILE LIABILITY W.M.BINdEeD1SINGLE LIMIT cciX $ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO OWNED I SCHEDULED AUTOS ONLY AUTOS X CWP9647699 03/01/2018 03/01/2019 BODILY INJURY Per accident Perr. dent AMAGE $ AUTOS ONLY ALTOS ONEDY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE 31000,000 EXCESS LIAB CLAIMS -MADE CWP9647699 03/01/2018 03/01/2019 DIED I X I RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY rrN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory hi NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4187389 11/01/2018 11/01I2019 X PER OTH- T T T E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT $ 1,000,000 $ 1,000, O I I DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES IACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the City of Fort Collins is included as Additional Insured for ongoing operations under General Liability and Automobile Liability. The City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 `�� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD