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Home My WebLink About235414 JUDGE NETTING INC - INSURANCE CERTIFICATE (6)(& ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F 12/27/2018 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 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 Robert Harris Insurance Agency, Inc- Lic. #0216736 3150 Bristol St., Suite 200 Costa Mesa CA 92626 CONTACT NAME: Adriana Lopez FAX A/C NrVEo Ext: (714)619-44B0 AC, NO: (714)619-4481 E-MAIL adriana@reharris.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC If INSURERA:The Ohio Casualty Insurance Company 24074 INSURED Judge Netting, Inc. 427 E. 17th St. Costa Mesa, CA 92627 INSURER B: American Fire & Casualty Company 24066 INSURER C: Berkshire Hathaway Homestate Ins Co. 20044 INSURER D: Continental Divine Insurance 135939 INSURERE: INSURER F : CUVEKAGE5 CERTIFICATE NUMBER:19-2U 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAA RENTED PREMISES Ea occurrence PREMISES (Ea occurrence) $ 100,000 MED EXP(Any one person) $ 15,000 X BKO58275737 1/1/2019 1/1/2020 PERSONAL BADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO - POLICY FX_1 JECT F LOC PRODUCTS - COMP/OPAGG $ 2,000,000 Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS X RAA58275737 1/1/2019 1/1/2020 BODILY INJURY (Per accident) $ NON -OWNED X Ix HIRED AUTOS AUTOS PPReOPPERdT ^DAMAGE $ Medical Expense $ 5,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 B EXCESS LAB CLAIMS -MADE DED I I RETENTION $ $ ESA58275737 1/1/2019 1/1/2020 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N JUWC011411 1/1/2019 1/1/2020 X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N /A JUWC011513 1/1/2019 1/1/2020 E. L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A ContraCtOPs Equipment BK058275737 1/1/2019 1/1/2020 Leased/Rented Equipment $800,000 Deductible $1 , 0 0 0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Netting for City Park and Collindale Golf Course. The City is named as Additional Insureds as their interest(s) may appear regarding any and all work performed by the above named insured with respects to General Liability and Auto Liability per the attached CG8810 04/13 and GECA701 0107. CERTIFICATE HOLDER CANCELLATION The City of Fort Collins P.O. 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 g Atkinson/ALOPEZ 4 ari rp6p ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)