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HomeMy WebLinkAboutINLET STRUCTURES INC - INSURANCE CERTIFICATE (3)INLESTR-01 MARE ACORo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `61.� 5/30/2019 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 endorsement(s). PRODUCER Six & Geving Insurance, Inc. 225 Union Blvd. #575 Lakewood, CO 80228 INSURED Inlet Structures Inc. Danny 8: Rachel Garza 5110 York St Denver, CO 80216 962-0930 _ INSURERS) AFFORDING COVERAGE SURER A: EMDlovers Mutual Casualtv Ca INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 962-0942 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 IADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X GEN_ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XOCCUR X 3X23855 6/2/2019 6/2/2020 EACH OCCURRENCE TO RENTED PREMSES(EaOcc_yrren $ 1,000,000 300,000 MED EXP (Any one erson 5,000 PERSONAL & ADV INJURY 1,000,000 'L AGGREGATE LIMIT APPLIES PER: POLICY D LOC " PE OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS p AUTOS ONLY AUTOS ONN 3X23855 612/2019 6/2/2020 COMBINED darIt,SINGLE LIMIT s 1,000,000 BODILY INJURY Perperson) BODILY INJURY Per accident PPeosmident AMAGE A X UMBRELLA LIAB X I OCCUR EXCESS LIAB -LCLAIMS-MADE DED X I RETENTION $ 10,000 3X23855 6/212019 6/212020 EACH OCCURRENCE 5,000,000 AGGREGATE 5,00000 B WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE (Mandatory In NH)EXCLUDED7 ® If yes, ba undar '. DESCRIPTION OF OPERATIONS below N/A 4018512 4/1/2018 4/1/2020 PERTE OTH- X ST E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 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 as respects General Liability if required by written contract. 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 �� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD