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HomeMy WebLinkAbout107133 BATH INC - INSURANCE CERTIFICATE (11),GORE® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIriYY) 10/23/2019 THIS CERTIFICATE IS ISSUED AS'A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSThUMA CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLQER.. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURER, If SUBROGATION IS WAIVED, subject to the terms and conditions. the policy(ies) must have ADDITIONAL INSURED provisions or be andorsed. of the policy, certain policies may require an endorsemenL A statement on this certificate does not confer rights to the certificate holder -In -lieu of such endorsements) PRODUCER NAME:Cf C- Jennifer Winter, CISR Flood and Peterson BONE , (970) 506-320.6 (970) 506-6846 No): ADDRESS. JVYinter@floodpetelSon.aom PO Box 578 INSURER(S)AFFORDING COVERAGE NAIL 0 Greeley CO 80 132 INsuft RA: Union Insurance Company 25844 INSURED INSURER 6: Plnnacol Assurance 41190 Beth, Inc. INSURERC: 2000 E. Prospect Road INSURER D: INSURER E : Fort Collins CO 80f125 INSURER F : COVERAGES CERTIRCATIFNIIMRFR- CL19102332031 RFVIcInm IIITMCIFR• THIS IS TO CERTIFY THAT THE'POLICIES OF INSURANCE. LISTED BELOW] HAVE BEEN ISSUED TO THEINSURED 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. LTR TYPE OF INSURANCE POLICY NUMBERPOLICY EFF POLICY ff" MMlO LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 rA CWMS•MADE � OCCUR PREMISES Eaoccllrterlce $ .300,000 57< MED EXP (Any one person) S 10,000 PD Ded:500 PERSONAL BADVINJURY - - 4_1,000.000 _ CPA3152084.23 11/01/2019 11/01/2020 GEN'LAGGREGATE LIMIT APPLIES PER: 2,000.000 POLICY ® JES®LOC .GENERALAGGREGATE PRODUCS-COMPIOPAGG. 2000,00T 0 - _ $ OTHER: AUTOMOB11 C LIABILITY OMBIINEDSINGLE LIMIT s 1_,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS CPAM52684-23 11/01/2019 11/01/2020 BODILY INJURY (Per accident) s HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Perectldent.E__.. S DOC X (JMeRF1 IIAa OCCUR .EACH OCCURRENCE_" _$.,5,000,000 .AGGREGATE__ _. __. - 5,000,000 S. .. ... A E%CESSWB L CLAIMS -MADE CPA3152084-23 11/01/2019 11/01/2020 DED. X RETENTION $ 0 WORKERS COMPENSATION PER -O H- - AND EF&LONsw LIABILITY YIN -- STATUTE -- ER - . — _ER - - E.L. EACH ACCIDENT. - S. 12000,000 B ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 40t5110 11/01/2019 11 /01/2020 E.L. DISEASE - EA EMPLOYEE _ _ $, 1,000,000 (Mandatmy In NH) If yes, describe under DESCRIPTION OF OPERATIONS balm E.L. DISEASE -POLICY LIMIT $ 1,000,000 I CESCRIpWoN OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Re aft Schedule, may ba adachaA N more space Is required) RE: Arborist License i CFRTIRCAT'F Mnl nFR I CANr`FI I ATInu SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEn BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE - Fort Collins CO 8052I-0580 (N ©1988-2015 ACORD CORPORATION. All. rights reserved. ACORD 25 (2016103) The ACORD name an I logo are registered marks of ACORD