HomeMy WebLinkAboutLUCKY FINS LLC - INSURANCE CERTIFICATE (2)Client#: 1129817
ACORD.. CERTIFICATE
LUCKYFIN
LIABILITY INSURANCE
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 statementon
this certificate does not confer any rights to the certificate holder In lieu of such endorsement(s).
USI Insurance Services NW
16231 North Brinson St Ste 150
Nampa, ID 83687
208 917-5680
INSURED
Lucky Fins LLC
801 West Main St #607
Boise, ID 83702
INSURER A: 13813WHtors huunmee CornPaM
INSURER B : A -Trust Inwrance Camp" of Ka,pss
866-613-3
15954
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADD
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYY
LIMITS
A
X
CoMMERCIALGENERALLIABILITY
S-
CLAIMMADE X OCCUR
X
X.
ACPBPOD3028496796
1/01/2019
11/01/2020
EACH OCCURRENCE
$1r000000r
—_
MMpp EE T7
RA I EM�ES Eaocncunence
$300000
ME_D EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$1 000 000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY ECOT LOC,
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
0
s2,000,000
Is
A
AUTOMOBILE
LIABILITY _
ANY AUTO
OWNED. SCHEDULED
AUTOS ONLY
HIRED AUTOSNON-O
AUTOS ONLY X WNED
AUTOS ONLY
X
X
ACPBP
D3028496796
11/01/2019
11/01/2020
E°eBIIeEDISINGLE LIMIT
1,000,000
BODILY INJURY (Per person)
Is
N
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
A
X
UMBRELLA LIAB
EXCESS W18
X
OCCUR
CLAIMS -MADE
X
X '
ACPBP'D3028496796
11/01/2019
11101/2020
EACH OCCURRENCE
$7 000 000
AGGREGATE
1$7.000,000
DED I X RETENTION$O
Is
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED?—
(Mandatory in NH).
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
KWC1187522.
11/08/201911/08/202
X PER OTH-
E.L. EACH ACCIDENT
$SOO OOO
E.L. DISEASE -. EA EMPLOYEE
$500000
E.L. DISEASE - POLICY LIMIT
I $500,000
DESCRIPTION OF OPERATIONS'I LOCATIONS / VEHICLES (ACORD 101, Additional
Proof of Insurance
Remarks Schedule, may be attached If more space Is required)
Fort Collins City Clerk
300 Laporte Ave.
Fort Collins, CO 80521-0000
SHOULD ANY OF THE ABOVE 'DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S27066242/M27065863 AOSZP