HomeMy WebLinkAboutLUCKY FINS LLC - INSURANCE CERTIFICATE (3)Client#: 1129817 LUCKYFIN
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE05/20/Y
11/5/209
19
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.
If SUBROGATION IS WAIVED, subject to the terms and
US[ 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.
CERTIFICATE
me poucytles) must nave Auul I IUNAL INZiUMtIJ provisions or De enoorse
of the policy, certain policies may require an endorsement. A statement on
holder in lieu of such
14
AmTrust Insuranoa Company of Kama
COVERAGE
15954
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERMI
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
EXCLUSIONS_ AND CONDITIONS OF SUCH POLICIES. LIMITSISHOWN
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE. TERMS,
MAY HAVE. BEEN REDUCED BY PAID CLAIMS.
L pR
TYPE OF INSURANCE.
IS RLSUBR
11rVD
POLICY NUMBER
MM/DD/YYYVF
MM/DDmYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X
X
ACPB
FD3028496796
1/01/2019
11/01/202
EACH OCCURRENCE
$1 OOOOOO
PREMISES Ea oau�nenca
$3OO OOO
MED EXP (Any one person)
$5 000
PERSONAL B ADV INJURY
$1,000 000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY E C I LOC
OTHER:
GENERAL AGGREGATE
s2,000,000
X
PRODUCTS - COMP/OPAGG
t2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOS ONLY NED SCHEDULED
AUTOS
AHIREDUTOS ONLY X NON -OWNED
AUTOS ONLY
I I
X
X
ACPBPFD3028496796
1/01/201911/01/202
COMBINernl ELIMIT
OMBI ED
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
X
PROPERTYDAMAGE
Per accident
$
$
A
I XI
UMBRELLA LIAR
EXCESS LIAR
,X
OCCUR
CLAIMS -MADE
X
X
ACPBPFD30.28496796
1/01/2019
11/01/2020
EACHOCCURRENCE
$7000000
AGGREGATE
s7.000.000
DED X RETENTION $0
$
B
WORKERS COMPENSATION
AND EMPLOYERS' uABILrry Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE�
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
KWC7187522
1/08/2019
11/08/2610
X I PER OTH-
A
E.L. EACH ACCIDENT
$500OOO
E.L. DISEASE - EA EMPLOYEEI
$500 000
E.L. DISEASE - POLICY LIMB
I $500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional
Proof of Insurance
Remarks Schedule, may be attached B more space Is required)
Fort. Collins City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
300 Laporte Ave. ACCORDANCE VVITH THE POLICY PROVISIONS.
Fort Collins, CO 80521-0000
I ®1988.2015 ACORD CORPORATION. All rights reserved..
ACORD 25 (2016103) 1 of y The ACORD name and Logo are registered marks of ACORD
#S27066242/M27065863 I AOSZP