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Home My WebLink AboutJASONS PAINTING INC - INSURANCE CERTIFICATEACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/27/2019 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 such endorsements . PRODUCER CONTACT FINN S JM&J INSURANCE NAME. PHONE FAX 483 LITTLE LAKE DR A/C. No, Ezt: A/C, No): E-MAIL ADDRESS: ANN ARBOR MI 48103 29TKG INSURER(S) AFFORDING COVERAGE NAIC # INSURERATHE TRAVELERS INDEMNITY COMPANY INSURED INSURER B JASONS PAINTING INC INSURER C 17255 FAHRNER RD INSURER CHELSEA MI 48118 INSURER E INSURER F 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR EACH OCCURRENCE S DAMAGE TO RENTED PREMISES Ea occurrence S MED EXP An one erson 5 PERSONAL & ADV INJURY S 3EN'RRLEEAGGGgqGREGATE LIMIT APPLIES PER POLIC�PROJECT O LOC GENERAL S PRODUCTS - COMP/OP AGG S $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS SCHEDULED ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY Perperson) S BODILY INJURY Per accident S PROPERTY DAMAGE Per accident S 5 UMBRELLA LIAR EXCESS LIAR OCCUR EACH OCCURRENCE 5 HCLAIMS-MADE AGGREGATE S DIED RETENTION S $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? Y/N (Mandatory in NH) Y If yes, describe under DESCRIPTION OF OPERATIONS below NIA N (GKUB-SB54471-4-19) 08-14-19 08-14-20 X PER STATUTE OTH- ER EL EACH ACCIDENT S 100,000 E,L DISEASE - EA EMPLOYEE S 100,0001 E L DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT COLLINS AUTHORIZED REPRESENTATIVE PO BOX 580 114 FORT COLLINS CO 80522 Y @1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD (Rev. 09-18)