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Home My WebLink About474788 ALL STRIPES & MAINTENANCE LLC - INSURANCE CERTIFICATE (6)ACORO® CERTIFICATE OF LIABILITY INSURANCE 111 DATE(MM/DDlYYYY) 1 2/2012019 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 Liberty Mutual Insurance PO Box 188065 Fairfield, OH 45018 CNTACT NAME: PHONE FAX A/C No Ext : 800-962-7132 A/C No): 800-845 3666 E-MAIL ADDRESS: Business Service LibertMutua1.com INSURERS AFFORDING COVERAGE NAIC # INSURERA: Ohio Security Insurance Company 24082 _ INSURED All Stripes & Maintenance LLC DBA Rocky Mountain Sweeping INSURER B : INSURERC: D&D Strippingg LLC PO Box 1399 Fort Collins CO 80522 INSURERD: INSURER E : INSURER F : 1.1/V rK at' .1 I_FW I1F1f=01F NIIMHF N• A71717A =11101r Kl \II IRA.CO. 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 ERTIFICATE MAY BE ISSUED OR MAY PEH1AK THE INSUHANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, XCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. FNR TYPE OF INSURANCE ADDL INSD UBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY - POLICY EXP MM/DD/YYYY LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ✓ BKS55859658 2/28/2019 2/28/2020 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 15 000 PERSONAL & ADV INJURY $ 1,000 000 GEN'L ✓ AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- JECT LOC OTHER: I GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY P (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA DAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT Is DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins, Purchasing Division is Additional Insured if required by written contract or written agreement subject to General Liability Blanket Additional Insured Provision. s_I� I Irll'M I nw"UCM %,ANLtLLA I IUN City of Fort Collins Purchasing Division PO Box 58 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 Desirae Mohr (0 1985-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 47121747 1 55859658 1 19-20 Master Certificate I Desirae Mohr 1 2/20/2019 9:41:02 AM (EST) I Page 1 of 1