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HomeMy WebLinkAboutTEXAS FIREPLACE EXPRESS LLC - INSURANCE CERTIFICATETEXAFIR-01 Y .4�OR0 CERTIFICATE OF LIABILITY INSURANCE DA8/1512019 ' 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 9xili -, 401111F610 owvu -B Insurance, LLC PHONE 1 South Nevada Ave., Suite 230 )ac, No, ExU: (719) 477�245 Oolorado Springs, CO 80903 pp .., janice.brown@ci INSURED Texas Fireplace Express, LLC 3827 Steele Steet Denver, CO 80205 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. UDR TYPE OF INSURANCE INDDLISUBRI AD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIALGENERAL LIABILITY CLAIMS -MADE OCCUR OGP002352 8/19/2019 $/19/2020 EACH OCCURRENCE E 1,000,000 DAMAGE TO RENTED S 100,000 MED EXP (Any oneperson) S 5,000 PERSONAL B ADV INJURY E 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X JE LOC OTHER GENERAL AGGREGATE E 2,000,000 PRODUCTS - COMP/OP AGG E 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOSONLY AUpTOOSVyNED X AUUTOS ONLY X AUTOS ONLY 307303 8/19/2019 8/19/2020 COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 BODILY INJURY Per person)$ BODILY INJURY Per accident $ P OPwEdR� ntTAMAGE E C UMBRELLA LAB X EXCESS LIAS J X OCCUR CLAIMS -MADE STN1965686 8/19/2019 EACH OCCURRENCE 8/19/2020 1AGGREGATE $ 1,000,000 $ 1,000,000 DEC) X RETENTIONS 0 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WYICER//MEMBER EXCLUDED?ECUTIVE y NIA (Mandatory It ) u qes, deecdbe ruder DESCRIPTION OF OPERATIONS below 18893 8/14/2019 X PER OTH 8/1/2020 EL EACH ACCIDENT EL _DISEASE -EA EMPLOYE E L DISEASE - POLICY LIMIT 1,000,000 E 1000,000 E ' $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES )ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street, 2nd Floor Fort Collins, CO 80522 AUTHORIZREPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD