HomeMy WebLinkAbout525795 WILLOW VIEW LLC - INSURANCE CERTIFICATEWILLVIE-01 SLUND
ACORO DATE(MMIDDrNYY)
CERTIFICATE OF LIABILITY INSURANCE 3/6/2019
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 A , CT Shelly Lunder
PFS Insurance Group PHONE FAX
4848 Thompson Parkway Suite 200 aC No, E:q: (AICC, No :(970) 635-9401
Johnstown, CO 80534 Mss: shellyl@mypfsinsurance.com
INSURED
Willow View LLC
243 N. College Ave
Fort Collins, CO 80524
COVERAGES E CFRTIFICATF NUMBER: 0e1/10W%K1 Lu E! . IRAM
- - -♦IJIV I. LVLI�GR.
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.
-INS
R
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
PD/DDY EFF
POLICY EXP DDrfYM
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE [� OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY ❑ JECT F—] LOC
OTHER:
74450130
4/1/2019
4/1/2020
EACH OCCURRENCE
$ 1,000,000
pREM ET ORSEa oNTED
$ 300,000
MED EXP (Any one arson
$ 10,000
PERSONAL & ADV INJURY
1,000,000
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
A
AUTOMOBILE LIABILITY
AUTO
OWNED SCHEDULED
__ AUTOS ONLY AUTOS
WN p
X AUTOS ONLY X AUTOS ONLY
74450130
4/1/2019
4/1/2020
COMBINESINGLE LIMIT
(EmANY
$ 1,000,000
BODILY INJURY Per erson
$
BODILY INJURY Per accident
_
- -
$
PPerr c Zt AMAGE
_
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADEI
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
;ANYO/ECUTIVE ar
i MnICER/MM--
NHatoryI
If Yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
PERT TH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
If required by written Contract or written agreement, the Certificate Holder is named as Additional Insured in regards to Solar Panels.
Fort Collins Utilities
700 Wood St
Fort Collins, CO 80521
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
tow l u/u,�) U 1988-2015 ACORD CORPORATION. All rights reserved.
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