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HomeMy WebLinkAboutTHE WELL LLC DBA STARRY NIGHT - INSURANCE CERTIFICATEWELLLLC-01 LRENNER ACORN' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 2/27/2019 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 suchendorsement(s). PRODUCER NApME CT Steamboat Select Insurance Group PHONE FAX 405 South Lincoln Avenue (A/C, No, Ext): (970) 879-1363 (A/C, No):(970) 879-0239 Suite A ADDRESS: office@steamboatselectins.com Steamboat Springs, CO 80487 INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:SECURA Insurance, A Mutual Company 22543 INSURED INSURER B c The Well, LLC dba Starry Night 112 S. College Ave Ste 100 Fort Collins, CO 80525 F: nrl\/FRAnrq rFRTIFI(`ATF III IMRFR• RFVISIr)Nl NII IMRFR- 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS L INSD WVD M D M/DD/YYYY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR �� X BP3250857 3/31/2019 3/31/2020 EACH OCCURRENCE DAMAGE TO RENTED EM.ISES.(E_a occurrence) _ MED EXP An one person)$ $ 1,000,000 500,000 $ 1 O,000 GEN'L X PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ j �7 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS E AU OS ONLY AUTO ONLY COMBINED SINGLE LIMIT Ea accident $ $ BODILY INJURY Perperson) BODILY INJURY Per accident $ (eorr accRideTMntDAMAGE $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If es, descnbo under y DESCRIPTION OF OPERATIONS below NIA i SPTER ERH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ $ _ E.L. DISEASE - POLICY LIMIT A A Property HNOA BP3250857 3/31/2019 BP3250857 3/31/2019 3/31/2020 3/31/2020 TIB HNOA 18,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder's Additional Insured interest for Signage/Outside Seating is included via Endorsement #CG2013 11111,11taC111117Lhe\Ia:Lojmlja: hIA9L"RWLl11-91C City of Fort Collins PO 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