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Home My WebLink About332904 JAG'S ENTERPRISES INC - INSURANCE CERTIFICATE (3)e DATE AC � L� CERTIFICATE OF LIABILITY INSURANCE 8/16n019 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 Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO 80224 INSURED Jagg's Enterprises, Inc. 7951 VV 28th Street Greeley CO 80634 COVERAGES CERTIFICATE NUMBER:772185923 REVISION NUMBER: 41 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 _ - ADOL suBR— ---- .- - ---- -- —pOLIC —POLICY EXP LIMts LTR TYPE OF INSURANCE N O wV POUCYNUMBER 1�WWYY DN A X COMMERCIAL GENERALUABILfY r MP19010105 1/272019 1/27/2020 EACH OCCURRENCE $1.000.000 Z) RENTED CLAW -MADE 7X1 OCCUR PREMISES (Ee ocalrralce $100.000 E 5.000 MED EXP (M one person) E 1,000,000 PERSONAL 8 ADV INJURY E 2,000,OOO GEN'L AGGREGATE LIMIT APPLIES PER: OENEFiAL AGGREGATE POLICY JEC� _ LOC PRODUCTS - COMPlOP AGG $2,OOD.000 $ OTHER-. A AL fOMOSILEUASIUTY V - MP19010105 1/272019 1272020 GOMMINED SINGLE LIMIT €a acc dent S 1,000.ODO BODILY INJURY (Par person) S X7 ANY AUTO OWNED -� SCHEDULED AUTOS ONLY AOS UT ,BODILY INJURY Par amidentl $ PROPERTY DAMAGE Per accident E X HIRED X NONOWNED AUTOS( AUTOS ONLY E UMBRELLA LIAS OCCUR - EACH OCCURRENCE S $ EXCESS LIAB CLAIMS -MADE AGGREGATE E DEO RETENTIONS g WORKERSCOMPENSATION 4146867 6/1201E 6/12020 X STATUTE I I ER AND EMPLOYERS' LIABILITY ANYPROPRIETOR,PARTNERIEXECUTIVE YIN OFFICERWEMBEREXCLUDEDT NIA _ E.L. EACH ACCIDENT (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S 1,D00,D00 S 1,000,D00 II yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000 000 C Leased and Rented Equipment ILM0707058 1/272019 t127l2020 Lime Special FomvACV180%Coinsurance Deductible 50,000 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Fort Collins. its officers, agents and employees and Colorado Department of Transportation are included as additional insured for ongoing operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. General Liability coverage is primary and non-contributory. All policy terms, conditions and exclusions apply. loth I If -ILA I t MULUtH UANI-MLLA I IUN City of Fort Collins 215 North Mason Street Fort Collins CO 80524 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 6 14281