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HomeMy WebLinkAbout100753 AQUATICS ASSOCIATES INC - INSURANCE CERTIFICATE (2)AQUAT-1 AL "PC DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 101/16/2019 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 endorsements . 970-482-7747 CONTACT House Account PRODUCER _NAME: Brown & Brown Inc PHONE 970-482-7747 F^X 970�84-4165 4532 Boardwalk Dr, Suite 200 A/C, No, Ext : ac, No Fort Collins, CO 80525 E-MAIL House Account ADDRESS: INSURER SJ AFFORDING COVERAGE _ NAI INSURER A: Scottsdale Insurance Company 41297 INSURED Aquatics Associates, Inc. INSURER B : Hartford Underwriters Ins Co 30104 Tami Schneck Pinnacol AuC41196 3013 E Mulberry St INSURER c : Assurance Company y Ft Collins, CO 80524 INSURER D : INSURER F : nA\/CDwnCc• nCDTICIf\A'TC \IIIaaDCD. DC\/ICIAIJ 11111MQC0- 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 DDL UBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Y CPS2952837 01/01/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE( RENTED PREMISES DAMAGE 100,000 $ 5,000 MED EXP (Any oneperson) PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 jE LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 1,000,000 B AUTOMOBILE LIABILITY X ANY AUTO ~� OWNED SCHEDULED AUTOS ONLY AUTOS HIRED T ONLY NON- ONED L Y 34UECAQ4574 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE _H DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE � ?FFICER/MEMBER EXCLUDED? Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below N/A '2218672 01/01/2019 01/01/2020 X I SEATUT ERH E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE, 500,000 $ 1 E.L. DISEASE - POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) GPaul@fcqov.com 970-22 -6777 CITFORT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing AUTHORIZED REPRESENTATIVE Gerry Paul 215 North Mason House Account Fort Collins, CO 80521 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD Aquatics Associates, Inc. AQUAT-1 PAGE 2 INSURED'SNAME OP ID: JV Date 01/16/2019 When required by written contract the following applies: General Liability: Blanket Additional Insured - GLS150s 07-06 Primary and Non -Contributory- CG2001 04-13 Automobile: Blanket Additional Insured - HA9916 03-12 Primary and Non -Contributory - HA9916 03-12 Blanket 30 day notice of Cancellation - IHO3130611 Workers Compensation: Blanket Waiver of Subrogation 359-B