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HomeMy WebLinkAbout193498 E-CUBE INC - INSURANCE CERTIFICATE (2)Client#: 98325 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMrDO YYYY) 8/23/2019 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(les) 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CBIZ Insurance Services, Inc. 700 West 47th Street, Suite 1100 Kansas City, MO 64112 816 945-5500 INSURED Nederland Refrigeration. Air Conditioni ng & Heating Corp., dba E-Cube Inc. 1720 Topaz Dr. Loveland, CO 80537 Laura Weeks n: 816-945-55f INSURER(S) AFFORDING COVERAGE NAIC i INSURER A: Hartford Casualty Insurance Co 29424 INSURER B : Hartford Insurance Co. of the Midwest 137478 INSURER C : Travelers Casualty & Surety Co. of Am. 131194 INa tocn n . Hartford Underwriters ' 30104 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 CONTRACTOR 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 LTR TYPE OF INSURANCE ADDL INcJR UBR yyyD POLICY NUMBER POLICY EFF POLICY EXP MMDD/YYYY M0219 UMITs A XRCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 37SBAPK5611 09/'09/202 0 EACH OCCURRENCE s2000000 PREMISES Eaozu£rr0ence $100 000 MED EXP (Any one arson) $ 5 000 PERSONAL &ADV INJURY s2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC OTHER: GENERAL AGGREGATE s4 00O OOO PRODUCTS - COMPIOP AGG s4 000,000 $ D AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULl71 AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 37UECKD= /09/2019 09/09/202 COMBINED SINGLE LIMIT (Ea a I ent 1,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X IIYBRELLA IJAB IXCESS LIAB )( OCCUR CLAIMS -MADE 37SBAPK5611 37WBCBZ3056 105493136 /09/2019 09/09/202 EACH OCCURRENCE $5 000 000 AGGREGATE _ $5 000 000 DED I X RETENTION $1O 000 X PER OTH- $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYFR ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? F (Mandatory In NH) tl yes, describe under DESCRIPTION OF OPERATIONS below NIA 9/09/2019 09/09/202 E.L. EACH ACCIDENT $1 O00 OOO E.L. DISEASE - EA EMPLOYEE $1 O0O WO E.L DISEASE - POLICY umrr $1 0D0,0D0 C Professional Liab 9/09/2019 09/09/202 $2,000,000 Each Claim/ $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 598's City of Fort Collins. City of Fort Collins is an additional insured with regard to General Liability and Automobile liability, if required by written agreement, per forms SS000080405 and HA99160312. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N Mason Street, 2nd Floor ACCORDANCE WITH THE POLICY PROVISIONS. Ft. Collins, CO 80522 AUTHORIZED REPRESENTATIVE CBIZ Insurance Services, Inc. 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016 03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2236187/M2217092 OPRK