HomeMy WebLinkAbout564848 THE EYES HAVE IT INC - INSURANCE CERTIFICATEACORN® CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
09/20/2018
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 Sandra Tovar
NAME:
Security First Insurance Agency
A/C, No Ext : (303) 730-2327 q/c, No): (303) 730-2930
E-MAIL stovar@securityfirstia.com
ADDRESS:
7851 S Elati St
INSURER(S) AFFORDING COVERAGE
NAIC p
Suite 100
Littleton CO 80120
INSURERA: ACUITYAMutuallnsCo-CANCELED
14184
INSURED
INSURER B :
INSURER C :
The Eyes Have It
INSURER D :
C/O Dennis Bell
INSURER E :
107 N College Ave
INSURER F :
Fort Collins CO 80524
COVERAGES CERTIFICATE NUMBER: CL1892016017 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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 INSURANCEAUULbUbh
INSD
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE X OCCUR
DAMAGE N
PREMISES Ea occurrence
250,000
$
MED EXP (Any one person)
$ 10,000
CANCELED
PERSONAL&ADV INJURY
$ INCLUDED
A
Y
X01972 - CANCELED
09/21/2018
12/04/2018
GEN'LAGGREGATE LIMITAPPLIES PER:
GENERAL AGGREGATE
$ 3,000,000
X PRO ❑ LOC
POLICY ❑ JECT
PRODUCTS-COMP/OPAGG
$ 3,000,000
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
ANYAUTO
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
X01972 - CANCELED
09/21/2018
12/04/2018
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
Per accident
$
XHIRED �/ NON -OWNED
AUTOS ONLY X AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAR
DED I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
PER OTH-
STATUTE ER
ANY PROPRIETOR/PARTNER/EXFCl1TIVE 7 1
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED?
N / A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
L,tK I IYII:AI t r1VLUtK 1_,Akr4k.r_LL1A I IVIY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of Fort Collins, Colorado ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522 ,g,Tjl4AtQIEM
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