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HomeMy WebLinkAbout507959 FLAGGERS INC - INSURANCE CERTIFICATE (3)FLAGINC-01 PAULAW ,d►C'oleO TE CERTIFICATE OF LIABILITY INSURANCE D 12/13/2 Y8 2/13/2018 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 Paula Weeks NAME: Forsberg Engerman Company an affiliate of Mountain West Insurance & PHONE FAX Financial Services, LLC (A/C, No, E:t): (303) 762-1717 I (A/c, No):(303) 762-1733 3575 S Sherman Street EopiiEss: paula@forsberg-engerman.com Englewood, CO 80113 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Burlington Insurance Co. 23620 INSURED INSURER B: Cincinnati Insurance Company 10677 Flaggers Inc INSURER C : Evanston Insurance Company 35378 420 E 58th Ave #116 INSURER D : Denver, CO 80216 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X 332BOO1910 12/11/2018 12/11/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMI or 100,000 $ ME EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY n PRO - JECT PRO- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY EBA0237084 3/4/2018 3/4/2019 COMBINED SINGLE LIMIT Ea accident 1 000 000 $ $ $ $ BODILY INJURY Perperson) BODILY INJURY Per accident PeOac R IDAMAGE C UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE XOBW7931918 12/11/2018 12/11/2019 EACH OCCURRENCE $ 1,000,000 X AGGREGATE $ 1,000,000 DED RETENTION$ Aggregate WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE QFFICER/MEMBER EXCLUDED? ❑ (. datory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- TAT LITE_. $ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE - - $ E.L. DISEASE - POLICY LIMIT B Property 7 ENP0237084 3/4/2018 3/4/2019 BPP 70,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is named as additional insured with respect to general liability coverage under form CG2033 04/13. L:t_K I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 215 N Mason 2nd Floor P.O. Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD