HomeMy WebLinkAboutWAYPOINT COMPANIES LLC - INSURANCE CERTIFICATETE (MMIODNYYY)
A� or CERTIFICATE OF LIABILITY INSURANCE °A 0130/2019
10/30/2019
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 Ay'�MEND, 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 poliey(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 endorsement(s).
PRODUCER
`WyE I
Shannon Kammerer
Flood and Peterson
PNol1eEtI:
123
931867 No:
PO Box 578
ADDRESS:
SKammererWoodpeterson.com
INSURER(S)AFFORDING COVERAGE
NAIL 0
Greeley
CO
80632
INSURERA:
AMCO
19100
INSURED
WSURERB.
Allied Imurance.GoofAmerica
- 10127
Waypoint Companies, LLC INSURER C : Pinnacol Assurance.
120 W. Olive St Ste 220 INSURER D : Hanover Insurance Company 22292
INSURER E :
Fort Collins CO 80524 INSURER F:
f`nVCDAGCC CPDTimrATP:Id11aaDCD.I x11/1 Maatar Prof DMCIAM MI IaaDPD.
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.
L LTR
TYPE OF INSURANCE
INSO
VVVVD
POLICY NUMBER
MUMONYYYI
(MMMONYYYI
LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE 5� OCCUR
DAMAGE TO RENTED
PREMISES Me o=rrence
$ 50,000
MEDEXP one
$ 10,000
PERSONAL aADVINJURY
$ 1,000,000
A
ACP G
30094971198
11/01l2019
11l01/2020
GENLAGGREGATE UMIT APPLIES .PER-
GENERALAGGREGATE
$ 2,000,000 -
POLICY 0 jEEcr LOC
7
PRODUCTS- COMP/OP AGG
$ 2,000,000
$
OTHER
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea acddent
$ 1,000.000
BODILY INJURY (Per person)
$
ANYAI/TO
g
OWNED SCHEDULED
AUTOS ONLY AUTOS
ACPBAL3009497198
11/01/2019
11/01/2020
BODILY INJURY (Per accident)
-
$
PROPERTY DAMAGE
$
HIRED NON -OWNED
--
AUTOS ONLY AUTOS ONLY
Per acddent -
S
UMBRELIJI LIAR
OCCUR
I
EACH OCCURRENCE..
$_.1,000,000
AGGREGATE
$ 1,000,000 -.
A
Ex4BRE LIA6
CLAIMS4MADE
ACPCA/�3009497198
11/01/2019
11/01/2020
OED_ FMENnON.S �- _. _
_
$-
_
- ..
_
_ _ —._
_ ...
WORKERS COMPENSATION
PER
OTH•
AND EMPLOYERS' LIABILITY YIN
STATUTE
EL EACHACCIDENT.
$, 1,000000
C
ANY PROPRIETORIPARfNERIEXECUrIVE
NIA
4220217
11/01l2019
11/01/2020
E:L DISEASE -EAEMPLOYEE
1,000,.000
.$. _
OFFICERALEMBEREXCLUDED?
(Mandatory In NH)
If yes,.desorme under
DESCRIPTION OF. OPERATIONS balm
E.L DISEASE -POLICY LIMIT
$ 1,000,000
Each Occurence
1,000,000
Professional Liability - Misc. Prop Mgrs
D
LH4D48049402
11/01l2019
11l01/2020
Aggregate
1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional
Remarks Schedule, may be attached M more apxe b required)
rcz rtctrerc uni nce i eAurcl I ArInM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE -THEREOF; NOTICE WILL BEDELIVERED IN
City of Fort Collins
ACCORDANCE WITH THEPOLICY PROVISIONS.
PO Box 580
- -
AU'TF10RIgD REPRESENTATNE
Fort Collins CO
86522-0580
�
Uo 11888-2015 ACORD GURPORATION. All ngntS MSarVe0.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD