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HomeMy WebLinkAboutKYTO INC - INSURANCE CERTIFICATE (4)CUSTOMERNUMBER: 0006755901 AC"RV CERTIFICATE OF LIABILITY INSURANCE �. DATE(MMIDD/YYYY) 05/09/19 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 NAME: PHARMACISTS MUTUAL INSURANCE COMPANY 808 HIGHWAY 18 WEST, PO BOX 370 ALGONA, IA 5 0 511- 0 3 7 0 E CANo.Ext): 800-247-5930 ��ac,No>: ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Pharmacists Mutual Insurance Company 13714 INSURED INSURER B: INSURER C: KYTO INC MOBILITY AND MORE INSURER D: INSURER E: 493 DENVER AVE LOVELAND CO 80537-5129 INSURER F: 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 NR TYPE OF INSURANCE ADDL SUBIR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y BOP 0089544 13 07/01/2019 07/01/2020 EACH OCCURRENCE $ 1, 000, 000 CLAIMS -MADE 1K OCCUR Includes- Health Care Services DAMAGE TO RENTED PREMISES (Ea occurrence) $ 250,000 MED EXP (Any one person) $ 5, 000 Professional Liability PERSONAL & ADV INJURY $ INCLUDED GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 WATER LEGAL LIABILITY $ 50, 000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ _ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident)L $ — — — — — — — — — — — — HIRED NON -OWNED AUTOS AUTOS $ AB OCCUR EACH OCCURRENCE $ CLAIMS -MAD AGGREGATE $ EE ENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WA PER OTRH TATUTE E S $ E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? YM (Mandatory In NH) ❑ $ E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached I1 more space Is required) Loc:MOBILITY AND MORE 493 DENVER AVE LOVELAND, CO 80537-5129 CERTIFICATE HOLDER CANCELLATION CERT HOLDER/ADDITIONAL INSR' D SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF FORT COLLINS EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 580 AUTHORIZED REPRESENTATIVE FORT COLLINS CO 80522 GAIL T. WOLFE, CISR, API © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD